Individual provider Active NPI

Kassandra Helen Engfer, EDD

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1073010609
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
MHC461 Issued in HI
Practice address
1330 Alamoana Boulevard
Suite 1
Honolulu, HI 96814
Phone
(808) 585-0379
Fax
(808) 585-0379
NPI assigned
Apr 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 001718-1 NY
Behavior Analyst 103K00000X 461 HI
Behavior Analyst 103K00000X MHC461 HI Primary

Addresses

Primary practice location

1330 Alamoana Boulevard
Suite 1
Honolulu, HI 96814

Mailing address

1330 Alamoana Boulevard
Suite 1
Honolulu, HI 96814
Phone (808) 585-0379

Other names 1

  • Dr. Kassandra Helen Mendelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MHC461HIMDBehavioral Analyst
001718-1NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1073010609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ALAMOANA BOULEVARD",
            "address_2": "SUITE 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-585-0379",
            "fax_number": "808-585-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ALAMOANA BOULEVARD",
            "address_2": "SUITE 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-585-0379",
            "fax_number": "808-585-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGFER",
        "first_name": "KASSANDRA",
        "middle_name": "HELEN",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001718-1",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "461",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "MHC461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSANDRA",
            "last_name": "MENDELSON",
            "middle_name": "HELEN",
            "prefix": "DR.",
            "credential": "EDD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.