Individual provider Active NPI

Edith Vajda, PSYD

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1053621508
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
615 Piikoi St
Ste 1605
Honolulu, HI 96814-3142
Phone
(808) 352-5050
Fax
(808) 564-0029
NPI assigned
Oct 18, 2010
Last updated
Nov 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

615 Piikoi St
Ste 1605
Honolulu, HI 96814-3142

Mailing address

615 Piikoi St
Ste 1605
Honolulu, HI 96814-3142
Phone (808) 352-5050

Other names 1

  • Dr. Edie Vajda Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000028 HI Practitioner - Clinical Psychologist 7810170826 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

615 Piikoi St
Suite 1605
Honolulu, HI 96814-3142
Phone (808) 352-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edith Vajda Current Accepting new patients
Gova LLC PastSince Jul 30, 2018 Accepting new patients

Locations

615 Piikoi St
Ste 1603
Honolulu, HI 96814
Phone (808) 352-5050

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1053621508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "STE 1605",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143142",
            "telephone_number": "808-352-5050",
            "fax_number": "808-564-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "STE 1605",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143142",
            "telephone_number": "808-352-5050",
            "fax_number": "808-564-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAJDA",
        "first_name": "EDITH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDIE",
            "last_name": "VAJDA",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.