NPIMap

Organization Active NPI

Sophia Wang & Associates, Inc.

  • Clinical Psychologist
  • Kailua Kona, HI
National Provider Identifier
1184882177
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1104 Issued in HI
Legal business name
SOPHIA WANG & ASSOCIATES, INC.
Practice address
76-6225 Kuakini Hwy
Suite C-103
Kailua Kona, HI 96740-3211
Phone
(808) 329-7176
NPI assigned
May 28, 2008
Last updated
May 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Sophia J Wang, PHDNPI 1154474294
Title
Executive Officer
Phone
(808) 329-7176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 22403 CA
Clinical Psychologist 103TC0700X PSY1104 HI Primary
Marriage & Family Therapist 106H00000X MFC35927 CA
Marriage & Family Therapist 106H00000X MFT56 HI

Addresses

Primary practice location

76-6225 Kuakini Hwy
Suite C-103
Kailua Kona, HI 96740-3211

Mailing address

PO Box 4938
Kailua Kona, HI 96745-4938
Phone (808) 329-7176

Other names 1

  • Sophia J. Wang, PhD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000015 HI Part B Supplier - Clinic/Group Practice 2163618190 Receives reassigned benefits from 2 practitioners
Practice locations: Kailua Kona, HI

National Provider Directory

National Provider Directory
Tax ID family
Center for Integrative Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

76-6225 Kuakini Hwy
Ste C103
Kailua Kona, HI 96740
Phone (808) 329-0943

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1184882177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4938",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967454938",
            "telephone_number": "808-329-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY",
            "address_2": "SUITE C-103",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403211",
            "telephone_number": "808-329-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA WANG & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-329-7176",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 22403",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1104",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35927",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT56",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sophia J. Wang, PhD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.