Individual provider Active NPI

June Hurst-Jones, PSY, MFT

  • Psychologist
  • Waialua, HI
National Provider Identifier
1093137382
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1645 Issued in HI
Practice address
66-892 Wanini St
Waialua, HI 96791-9758
Phone
(808) 457-1311
NPI assigned
Jan 6, 2014
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1645 HI Primary

Addresses

Primary practice location

66-892 Wanini St
Waialua, HI 96791-9758

Mailing address

66-892 Wanini St
Waialua, HI 96791-9758
Phone (808) 457-1311

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
I20190418001894 HI Practitioner - Clinical Psychologist 2860777869 Reassigns benefits to 2 organizations
Practice locations: Waialua, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

66 -892 Wanini St
Waialua, HI 96791-9758
Phone (808) 457-1311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY1645HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Collaborative Therapy CurrentSince Aug 31, 2023 Accepting new patients
Gova LLC CurrentSince Dec 9, 2018 Accepting new patients

Locations

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

615 Piikoi St
Ste 1605
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": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1093137382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-892 WANINI ST",
            "city": "WAIALUA",
            "state": "HI",
            "postal_code": "967919758",
            "telephone_number": "808-457-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-892 WANINI ST",
            "city": "WAIALUA",
            "state": "HI",
            "postal_code": "967919758",
            "telephone_number": "808-457-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST-JONES",
        "first_name": "JUNE",
        "name_prefix": "Mrs.",
        "credential": "PSY, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waialua, HI

Sources for this page

Verify at the official NPI Registry.