Individual provider Active NPI

Xanya Sofra-Weiss, PHD

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1134277676
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
520 Issued in HI
Practice address
7773 Waikapu Loop
Honolulu, HI 96825-3026
Phone
(808) 222-2664
Fax
(808) 395-0787
NPI assigned
Jan 8, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 520 HI Primary

Addresses

Primary practice location

7773 Waikapu Loop
Honolulu, HI 96825-3026

Mailing address

7773 Waikapu Loop
Honolulu, HI 96825-3026
Phone (808) 222-2664

Other identifiers 2

IdentifierTypeStateIssuer
00A004372OtherHIHMSA
00507002MedicaidHI

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

LicenseStateTypeSpecialty
520HIMDPsychologist

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, 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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1134277676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7773 WAIKAPU LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253026",
            "telephone_number": "808-222-2664",
            "fax_number": "808-395-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7773 WAIKAPU LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253026",
            "telephone_number": "808-222-2664",
            "fax_number": "808-395-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFRA-WEISS",
        "first_name": "XANYA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A004372",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00507002",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.