Organization Active NPI

Ainoa Psychological Services LLC

  • Psychologist
  • Ewa Beach, HI
National Provider Identifier
1225528631
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-1656 Issued in HI
Legal business name
AINOA PSYCHOLOGICAL SERVICES LLC
Practice address
91-3575 Kauluakoko Unit 1501
Ewa Beach, HI 96706-5861
Phone
(808) 773-1779
Fax
(808) 784-0525
NPI assigned
May 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Dr. Aleksandra Tosovic- Yamashiroya, PSYD
Title
Member
Phone
(808) 773-1779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY-1656 HI Primary

Addresses

Primary practice location

91-3575 Kauluakoko Unit 1501
Ewa Beach, HI 96706-5861

Mailing address

91-3575 Kauluakoko Unit 1501
Ewa Beach, HI 96706-5861
Phone (808) 773-1779

Other practice location 1

94-229 Waipahu Depot St Ste 400
Waipahu, HI 96797-3034
Phone (808) 773-1779

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180627002145 HI Part B Supplier - Clinic/Group Practice 7618223041 Receives reassigned benefits from 1 practitioner
Practice locations: Ewa Beach, HI

National Provider Directory

National Provider Directory

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": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1225528631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-3575 KAULUAKOKO UNIT 1501",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065861",
            "telephone_number": "808-773-1779",
            "fax_number": "808-748-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-3575 KAULUAKOKO UNIT 1501",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065861",
            "telephone_number": "808-773-1779",
            "fax_number": "808-784-0525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-229 Waipahu Depot St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967973034",
            "country_code": "US",
            "telephone_number": "808-773-1779",
            "fax_number": "808-748-0525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AINOA PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "YAMASHIROYA",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_middle_name": "TOSOVIC-",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-773-1779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-1656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.