Individual provider Active NPI

James Farthing Efstation, PH.D.

  • Clinical Psychologist
  • Kapaau, HI
National Provider Identifier
1104881283
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
769 Issued in HI
Practice address
54-3885 Akonipule Hwy
#211-D
Kapaau, HI 96755
Phone
(808) 889-6200
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 769 HI Primary
Clinical Psychologist 103TC0700X 1457 NC

Addresses

Primary practice location

54-3885 Akonipule Hwy
#211-D
Kapaau, HI 96755

Mailing address

PO Box 115
Kapaau, HI 96755-0115
Phone (808) 889-6200

Other identifiers 2

IdentifierTypeStateIssuer
0000238139OtherHIHMSA
52137901MedicaidHI

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
I20101118001099 HI Practitioner - Clinical Psychologist 6608765599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

54-3885 Akonapuli Hwy
St 211 D
Kapaau, HI 96755
Phone (808) 889-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
769HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James F Efstation and Associates Inc Clinical CurrentSince Aug 25, 1998 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1104881283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "967550115",
            "telephone_number": "808-889-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54-3885 AKONIPULE HWY",
            "address_2": "#211-D",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "96755",
            "telephone_number": "808-889-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFSTATION",
        "first_name": "JAMES",
        "middle_name": "FARTHING",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "769",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000238139",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52137901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaau, HI

Sources for this page

Verify at the official NPI Registry.