Active NPI
Victoria Liou-Johnson, PHD
- Psychologist
- Honolulu, HI
National Provider Identifier
1376019927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY005022
- Practice address
- 7192 Kalanianaole Hwy Ste A143A #264
Honolulu, HI 96825 - Phone
- (650) 434-2641
- NPI assigned
- Oct 22, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1759 | HI | |
| Psychologist | 103T00000X | PSY1759 | HI | |
| Psychologist | 103T00000X | PSY005022 | AZ | Primary |
Addresses
Primary practice location
7192 Kalanianaole Hwy Ste A143A #264
Honolulu, HI 96825
Mailing address
7192 Kalanianaole Hwy Ste A143A #264
Honolulu, HI 96825
Phone (650) 434-2641
Other practice location 1
377 Keahole St Ste E211C
Honolulu, HI 96825-3413
Phone (808) 221-6540
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1759 | HI | MD | Clinical Neuropsychologist |
| PSY005022 | AZ | MD | Psychologist |
| PSY1759 | HI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1376019927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7192 KALANIANAOLE HWY STE A143A #264",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96825",
"telephone_number": "650-434-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7192 KALANIANAOLE HWY STE A143A #264",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96825",
"telephone_number": "650-434-2641"
}
],
"practiceLocations": [
{
"address_1": "377 Keahole St Ste E211C",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968253413",
"country_code": "US",
"telephone_number": "808-221-6540",
"fax_number": "855-264-1894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIOU-JOHNSON",
"first_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-22",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "HI",
"license": "1759",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY1759",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY005022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.