Nova Luna, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

98-STF Issued in HI

Legal business name

NOVA LUNA, INC.

Practice address

470 Lilihua PL
Wailuku, HI 96793-1313

Phone

(808) 249-9999

NPI assigned

Nov 1, 2013

Organization subpart

No

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

Authorized official

Name

Cathy Meyer-Uyehara, FACHE

Title

Ceo

Phone

(808) 386-5849

Specialties & licenses 1

Addresses

Other names 1

• Ai' Pono Maui Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita Agueda Johnson, PHD

  • Psychologist
  • Kailua, HI
  • NPI 1134222771
  NPD (past)

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1144659020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-643 KIPIMANA STREET",
            "address_2": "SUITE 20 NOVA LUNA INC C/O MICROIMAGING",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "96749",
            "telephone_number": "808-966-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LILIHUA PL",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931313",
            "telephone_number": "808-249-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA LUNA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "MEYER-UYEHARA",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-386-5849",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "HI",
            "license": "98-STF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ai' Pono Maui",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Mental Illness Community Based Residential Treatment Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.