NPIMap

Organization Active NPI

Center for Integrative Therapy

  • Clinical Psychologist
  • Kailua Kona, HI
National Provider Identifier
1346447976
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1104 Issued in HI
Legal business name
CENTER FOR INTEGRATIVE THERAPY
Practice address
77-6425 Kuakini Hwy
Suite D-102
Kailua Kona, HI 96740-3213
Phone
(808) 329-7176
Fax
(808) 326-1279
NPI assigned
Jun 28, 2007
Last updated
Aug 8, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
SOPHIA WANG & ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Sophia J Wang, PH.D.NPI 1154474294
Title
Executive Officer
Phone
(808) 329-7176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1104 HI Primary

Addresses

Primary practice location

77-6425 Kuakini Hwy
Suite D-102
Kailua Kona, HI 96740-3213

Mailing address

PO Box 4938
Kailua Kona, HI 96745-4938
Phone (808) 329-7176

National Provider Directory

National Provider Directory
Tax ID family
Center for Integrative Therapy2 organizations share this tax ID, including this one
Part of
Center for Integrative Therapy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

77-6425 Kuakini Hwy
Ste D102
Kailua Kona, HI 96740
Phone (808) 329-7176

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1346447976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4938",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967454938",
            "telephone_number": "808-329-7176",
            "fax_number": "808-326-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77-6425 KUAKINI HWY",
            "address_2": "SUITE D-102",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403213",
            "telephone_number": "808-329-7176",
            "fax_number": "808-326-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTEGRATIVE THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOPHIA WANG & ASSOCIATES, INC.",
        "enumeration_date": "2007-06-28",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-329-7176",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.