Walter S O Fo

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY132 Issued in HI

Practice address

1585 Kapiolani Blvd Ste 1234
Honolulu, HI 96814-4524

Phone

(808) 735-9400

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rosalie K Tatsuguchi PHD Inc

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1215185301
  NPD (past)
• Team Care Clinical Services, LLC

  • Community/Behavioral Health Agency
  • Haleiwa, HI
  • NPI 1558927194
  NPD (past)
• Fite LLC

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1558985481
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306908439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 KAPIOLANI BLVD STE 1234",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144524",
            "telephone_number": "808-735-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 KAPIOLANI BLVD STE 1234",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144524",
            "telephone_number": "808-735-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FO",
        "first_name": "WALTER",
        "middle_name": "S O",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flying With Eagles, LLC
• Bret W. Flynn, M.D.
• Helen D Flynn, DACHM,L.AC.
• Jessie Flynn
• Mallory Jean Flynn, RPA-C
• Marie Dianne Fochtman Seleny, APRN, CPNP
• Alexis Marie Fodran
• Rebecca Claire Fojas-Calimpong, AGNP
• Raymond Alexander Folen
• Stephen Thomas Foley, M.D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.