Anita Agueda Johnson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY233 Issued in HI

Practice address

258 Kuukama St
Kailua, HI 96734-2949

Phone

(808) 262-0398

Fax

(808) 261-4463

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Lifeforce, Inc.

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1538229489
  NPD (past)
• Lifeforce, Inc.

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1538309075
  NPD (past)
• Nova Luna, Inc.

  dba Ai' Pono Maui

  • Mental Illness Community Based Residential Treatment Facility
  • Wailuku, HI
  • NPI 1144659020
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134222771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967340393",
            "telephone_number": "808-262-0398",
            "fax_number": "808-261-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 KUUKAMA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342949",
            "telephone_number": "808-262-0398",
            "fax_number": "808-261-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANITA",
        "middle_name": "AGUEDA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L. Rausch, MD, Inc.
• John M. Nagamine, M.D. Inc
• Kellie Johnsen, LMFT, CST
• Joelle Johnson-Lahne, RN, LMT, LE
• Angelique Stephanie Johnson
• Brianna Johnson
• Christopher A. Johnson, M.D.
• Christopher M Johnson, LMT
• Destiney Alise Johnson, M.S.
• Eric Alan Johnson, M.D.

• Psychologist in Kailua, HI
• Providers in Kailua, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.