Mavis M Alaimalo, PSYD, CSAC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-942 Issued in HI

Practice address

98-084 Kamehameha Hwy Ste 301B
Aiea, HI 96701-5124

Phone

(808) 486-4900

Fax

(808) 486-4901

NPI assigned

May 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mavis V Maiava-Alaimalo Former name

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

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Wahiawa Center for Community HealthGroup PAC ID 6608154182, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (1 of 3)

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
• HI PPO

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21516/brand/1/csg/1/fhir/r4
• Direct secure messaging: mavis.alaimalo.1@15549.direct.athenahealth.com

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.

• The Wahiawa Center for Community Health

  • Federally Qualified Health Center (FQHC)
  • Wahiawa, HI
  • NPI 1992176283

  HI

  Medicare reassignment Care Compare group
• NA Pu'Uwai

  • Adult Day Care Clinic/Center
  • Kaunakakai, HI
  • NPI 1447782123
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1154378768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-084 KAMEHAMEHA HWY STE 301B",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015124",
            "telephone_number": "808-486-4900",
            "fax_number": "808-486-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-084 KAMEHAMEHA HWY STE 301B",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015124",
            "telephone_number": "808-486-4900",
            "fax_number": "808-486-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAIMALO",
        "first_name": "MAVIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSYD, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580474-03",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAVIS",
            "last_name": "MAIAVA-ALAIMALO",
            "middle_name": "V",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aiea Pediatrics, LLC
• Maria Lourdes Javier Akagi, APRN
• Cristian Sun Akana
• Leila-Tiare Akana
• Al'S Vinyl Repair Inc.
• Alan M. Tamashiro, D.D.S., Inc.
• Alan N Oki MD Inc
• Collin Aldridge
• Lauren Alejo
• Ariane Alexander

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.