Active NPI
Maritess M. Yamada, MFT
- Marriage & Family Therapist
- Waipahu, HI
National Provider Identifier
1356758908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT-563
- Practice address
- 94-828 Lumiauau St
M204
Waipahu, HI 96797 - Phone
- (808) 354-2187
- NPI assigned
- Jul 16, 2014
- Reactivated
- Jun 6, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT-563 | HI | Primary |
Addresses
Primary practice location
94-828 Lumiauau St
M204
Waipahu, HI 96797
Mailing address
94-828 Lumiauau St
M204
Waipahu, HI 96797-4861
Phone (808) 354-2187
Other names 1
- Maritess Macaraeg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT-563 | HI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M.Y. Counseling LLC | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Pearl City, HI
- NPI 1831964733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1356758908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-828 LUMIAUAU ST",
"address_2": "M204",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967974861",
"telephone_number": "808-354-2187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-828 LUMIAUAU ST",
"address_2": "M204",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "96797",
"telephone_number": "808-354-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMADA",
"first_name": "MARITESS",
"middle_name": "M.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2018-06-16",
"deactivation_date": "2018-05-30",
"reactivation_date": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "MFT-563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARITESS",
"last_name": "MACARAEG",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.