Individual provider Active NPI

Vanessa Alfoja Mamhot, NC

  • Behavior Analyst
  • Honolulu, HI
National Provider Identifier
1205201431
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
210 Ward Ave Ste 219B
Honolulu, HI 96814-4003
Phone
(808) 585-1424
Fax
(808) 585-0379
NPI assigned
Dec 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

210 Ward Ave Ste 219B
Honolulu, HI 96814-4003

Mailing address

95-927 Paikauhale St
Mililani, HI 96789-2847
Phone (360) 969-1875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1205201431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-927 PAIKAUHALE ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892847",
            "telephone_number": "360-969-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WARD AVE STE 219B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144003",
            "telephone_number": "808-585-1424",
            "fax_number": "808-585-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMHOT",
        "first_name": "VANESSA",
        "middle_name": "ALFOJA",
        "credential": "NC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.