Active NPI
Leon Pereira, PHD
- Clinical Psychologist
- Kaneohe, HI
National Provider Identifier
1285754796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 614
- Practice address
- 45-955 Kamehameha Hwy
Suite 401
Kaneohe, HI 96744-3222 - Phone
- (808) 255-3618
- Fax
- (808) 235-0321
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 614 | HI | Primary |
Addresses
Primary practice location
45-955 Kamehameha Hwy
Suite 401
Kaneohe, HI 96744-3222
Mailing address
PO Box 4835
Kaneohe, HI 96744-8835
Phone (808) 255-3618
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140327001515 | HI | Practitioner - Clinical Psychologist | 6103057567 | Practice locations: Kaneohe, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 614 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1285754796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4835",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967448835",
"telephone_number": "808-255-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-955 KAMEHAMEHA HWY",
"address_2": "SUITE 401",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443222",
"telephone_number": "808-255-3618",
"fax_number": "808-235-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREIRA",
"first_name": "LEON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY 614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.