Organization Active NPI

John C. Donkervoet, PH.D., LLC

  • Clinical Psychologist
  • Kaneohe, HI
National Provider Identifier
1205168549
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-713 Issued in HI
Legal business name
JOHN C. DONKERVOET, PH.D., LLC
Practice address
46-001 Kamehameha Hwy
Suite 409
Kaneohe, HI 96744-3711
Phone
(808) 371-5539
Fax
(808) 247-4696
NPI assigned
Feb 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Dr. John Cornelius Donkervoet, PH.D.
Title
Psychologist
Phone
(808) 371-5539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY-713 HI Primary

Addresses

Primary practice location

46-001 Kamehameha Hwy
Suite 409
Kaneohe, HI 96744-3711

Mailing address

46-001 Kamehameha Hwy
Suite 409
Kaneohe, HI 96744-3711
Phone (808) 371-5539

National Provider Directory

National Provider Directory

Locations

46-001 Kamehameha Hwy
Ste 409
Kaneohe, HI 96744
Phone (808) 223-1399

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1205168549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY",
            "address_2": "SUITE 409",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443711",
            "telephone_number": "808-371-5539",
            "fax_number": "808-247-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY",
            "address_2": "SUITE 409",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443711",
            "telephone_number": "808-371-5539",
            "fax_number": "808-247-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. DONKERVOET, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "DONKERVOET",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CORNELIUS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-371-5539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.