Active NPI
Hawaii Psy
- Clinical Psychologist
- Aiea, HI
National Provider Identifier
1154897148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- HAWAII PSY
- Practice address
- 99-128 Aiea Heights Dr Ste 109
Aiea, HI 96701-3916 - Phone
- (808) 425-0106
- Fax
- (808) 377-6188
- NPI assigned
- Oct 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Erik Jul, PSY.D.
- Title
- Director
- Phone
- (808) 425-0106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
99-128 Aiea Heights Dr Ste 109
Aiea, HI 96701-3916
Mailing address
99-128 Aiea Heights Dr Ste 109
Aiea, HI 96701-3916
Phone (808) 425-0106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79445501 | Medicaid | HI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539734400000",
"number": "1154897148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DR STE 109",
"city": "AIEA",
"state": "HI",
"postal_code": "967013916",
"telephone_number": "808-425-0106",
"fax_number": "808-377-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DR STE 109",
"city": "AIEA",
"state": "HI",
"postal_code": "967013916",
"telephone_number": "808-425-0106",
"fax_number": "808-377-6188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWAII PSY",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A",
"authorized_official_last_name": "JUL",
"authorized_official_first_name": "ERIK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "808-425-0106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79445501",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.