Terry Ann T Fujioka, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 464 Issued in HI

Practice address

79-7460 Mamalahoa Hwy
Suite 110
Kealakekua, HI 96750-7917

Phone

(808) 324-0434

Fax

(808) 324-0129

NPI assigned

Jul 12, 2006

Last updated

Aug 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1245265412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-7460 MAMALAHOA HWY",
            "address_2": "SUITE 110",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507917",
            "telephone_number": "808-324-0434",
            "fax_number": "808-324-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-7460 MAMALAHOA HWY",
            "address_2": "SUITE 110",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507917",
            "telephone_number": "808-324-0434",
            "fax_number": "808-324-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIOKA",
        "first_name": "TERRY ANN",
        "middle_name": "T",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0092807",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071367",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Florer
• Eleanor Fong, MA- PSYCHOLOGY
• Michael McKinley Fountain, FNP-BC
• Shmyra Fountain, FNP-BC
• Celia G Frost, MS - EDUCATION
• Tyler Fujita
• Jennifer Christine Garcia, M.S., CCC-SLP
• Juliana A Garza, MASTERS-RELIGIOUS ED
• John A Gawlik, DMD
• Jeffrey Todd Gerton, MD

• Clinical Psychologist in Kealakekua, HI
• Providers in Kealakekua, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.