Winds of Change Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

971 Issued in HI

Legal business name

WINDS OF CHANGE PSYCHOLOGICAL SERVICES

Practice address

2-2514 Kaumualii Hwy
Ste 104
Kalaheo, HI 96741-8303

Phone

(808) 332-8370

Fax

(808) 332-6352

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Adams, PH.D.

Title

Ceo

Phone

(808) 332-8370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1073656021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690107",
            "city": "MAKAWELI",
            "state": "HI",
            "postal_code": "967690107",
            "telephone_number": "808-332-8370",
            "fax_number": "808-332-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-2514 KAUMUALII HWY",
            "address_2": "STE 104",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418303",
            "telephone_number": "808-332-8370",
            "fax_number": "808-332-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDS OF CHANGE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-332-8370",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Van de Taeye
• Linda J. Weiner, M.D.
• Robert S. Weiner, M.D.
• Theresa Wiederoder, DPT
• Teri Wilkinson, LMT, CPT
• Laura Ann Wolfgang, ANP/BC
• Kimberly Wood
• Susannah M Woolway, CCC SLP
• Eric William Wortmann, M.D.
• Zachary C Young, DC

• Clinical Psychologist in Kalaheo, HI
• Providers in Kalaheo, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.