Active NPI
Ainoa Psychological Services LLC
- Psychologist
- Ewa Beach, HI
National Provider Identifier
1225528631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-1656
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.