Active NPI
Lisa Nobuko Orimoto, PH.D.
- Clinical Psychologist
- Aiea, HI
National Provider Identifier
1124062377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 629
- Practice address
- 98-211 Pali Momi St
Suite 635
Aiea, HI 96701-4301 - Phone
- (808) 554-5901
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 629 | HI | Primary |
Addresses
Primary practice location
98-211 Pali Momi St
Suite 635
Aiea, HI 96701-4301
Mailing address
PO Box 724
Pearl City, HI 96782-0724
Phone (808) 484-8901
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY 629-02 | Other | HI | MDX |
| 087988 | Medicaid | HI |
Other names 1
- Ms. Lisa Nobuko Deai
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 629 | HI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Ministries Center | Clinical | Past | 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": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195430400000",
"number": "1124062377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 724",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967820724",
"telephone_number": "808-484-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-211 PALI MOMI ST",
"address_2": "SUITE 635",
"city": "AIEA",
"state": "HI",
"postal_code": "967014301",
"telephone_number": "808-554-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORIMOTO",
"first_name": "LISA",
"middle_name": "NOBUKO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2007-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX",
"identifier": "PSY 629-02",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "087988",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "DEAI",
"middle_name": "NOBUKO",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.