Active NPI
Jay Dinong Valdez, PSYD
- Clinical Psychologist
- Waipahu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1390
- Practice address
- 94-1480 Moaniani St
Waipahu, HI 96797-4632 - Phone
- (808) 432-3100
- NPI assigned
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- No
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 | PSY1390 | HI | Primary |
Addresses
Primary practice location
94-1480 Moaniani St
Waipahu, HI 96797-4632
Mailing address
1036 Makaiwa St
Honolulu, HI 96816-5449
Phone (808) 754-1022
Other practice location 1
94-216 Farrington Hwy
Suite A-103
Waipahu, HI 96797-1922
Phone (808) 754-1022
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
599 Farrington Hwy
Kapolei, HI 96707-2028
Phone (808) 432-3668
94 -1480 Moaniani St
Waipahu, HI 96797-4632
Phone (808) 432-3177
94-216 Farrington Hwy a-203
Waipahu, HI 96797-1922
Phone (808) 680-0558
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1390 | HI | MD | Clinical Psychologist |
| 1390 | HI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Hawaii Permanente Medical Group Inc | Past | Accepting new patients | |
| Aloha Counseling Associates, LLC | Clinical | Past | Accepting new patients |
Locations
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
94-1480 Moaniani St
Waipahu, HI 96797
Phone (808) 432-2000
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 and National Provider Directory roles.
-
- Radiology Clinic/Center
- Honolulu, HI
- NPI 1063515567
-
- Clinical Psychologist
- Waipahu, HI
- NPI 1669802765
-
- Clinical Medical Laboratory
- Kamuela, HI
- NPI 1285649665
-
- Rural Health Clinic/Center
- Kahuku, HI
- NPI 1245773936
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1306278981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 MAKAIWA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165449",
"telephone_number": "808-754-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-1480 MOANIANI ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967974632",
"telephone_number": "808-432-3100"
}
],
"practiceLocations": [
{
"address_1": "94-216 Farrington Hwy",
"address_2": "Suite A-103",
"address_purpose": "LOCATION",
"city": "Waipahu",
"state": "HI",
"postal_code": "967971922",
"country_code": "US",
"telephone_number": "808-754-1022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALDEZ",
"first_name": "JAY",
"middle_name": "DINONG",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-06",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY1390",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "94-1480 Moaniani St",
"city": "Waipahu",
"state": "HI",
"country_code": "US",
"postal_code": "967974632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.