Individual provider Active NPI

James Michael Vigorito, PH.D.

  • Psychologist
  • Hilo, HI
National Provider Identifier
1285766188
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1357 Issued in HI
Practice address
190 Keawe St
Suite 22
Hilo, HI 96720-2849
Phone
(719) 510-6190
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1357 HI Primary

Addresses

Primary practice location

190 Keawe St
Suite 22
Hilo, HI 96720-2849

Mailing address

PO Box 711312
Mountain View, HI 96771-1312
Phone (719) 510-6190

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
I20140509001009 HI Practitioner - Clinical Psychologist 5890961395 Reassigns benefits to 2 organizations
Practice locations: Pahoa, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Catalyst Group LLCGroup PAC ID 3577781863, 4 clinicians

Practice addresses (Care Compare)

3615 Harding Ave
Suite 509
Honolulu, HI 96816-3757
Phone (808) 739-1992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1357HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Hawaii Community Health Center, Inc. Current Accepting new patients
The Catalyst Group, LLC CurrentSince Jan 7, 2022 Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Jan 18, 2016 Accepting new patients
West Hawaii Community Health Center, Inc. Current Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Jan 18, 2016 Accepting new patients

Locations

1178 Kinoole St
Hilo, HI 96720
Phone (808) 961-4082

450 Kilauea Ave
Ste 105
Hilo, HI 96720
Phone (808) 961-4071

3615 Harding Ave
Ste 509
Honolulu, HI 96816
Phone (808) 551-6360

16-192 Pili Mua St
Keaau, HI 96749
Phone (808) 930-0040

15-2866 Pahoa Village Rd
Bldg C
Pahoa, HI 96778
Phone (808) 965-9711

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1285766188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711312",
            "city": "MOUNTAIN VIEW",
            "state": "HI",
            "postal_code": "967711312",
            "telephone_number": "719-510-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 KEAWE ST",
            "address_2": "SUITE 22",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202849",
            "telephone_number": "719-510-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGORITO",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "1357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.