Individual provider Active NPI

Maria C D'Avella, M.A.

  • Marriage & Family Therapist
  • Makawao, HI
National Provider Identifier
1275767816
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
213 Issued in HI
Practice address
15 Puaina PL
Makawao, HI 96768-9650
Phone
(808) 280-3431
Fax
(808) 573-0777
NPI assigned
May 11, 2009
Last updated
May 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 213 HI Primary

Addresses

Primary practice location

15 Puaina PL
Makawao, HI 96768-9650

Mailing address

PO Box 818
Makawao, HI 96768-0818

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240403002418 HI Practitioner - Marriage and Family Therapist 2567800097 Practice locations: Makawao, HI

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Puaina PL
Makawao, HI 96768-9650
Phone (808) 280-3431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
213HIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1275767816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967680818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PUAINA PL",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689650",
            "telephone_number": "808-280-3431",
            "fax_number": "808-573-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AVELLA",
        "first_name": "MARIA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

Verify at the official NPI Registry.