Paul Joseph Sulla III, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

622 Hinano St
Hilo, HI 96720-4427

Phone

(808) 969-1935

Fax

(808) 969-3276

NPI assigned

Feb 4, 2014

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

Other names 1

• Mr. P. Joseph Sulla III Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Mauna Kea Sky Counseling LLC

  • Community/Behavioral Health Agency
  • Kamuela, HI
  • NPI 1154861573
  NPD (past) Authorized official
• P. Joseph Sulla III, MFT, Csac

  • Marriage & Family Therapist
  • Kamuela, HI
  • NPI 1578939468
  NPD (past) Authorized official

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1376966804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1514",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967271514",
            "telephone_number": "808-937-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HINANO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204427",
            "telephone_number": "808-969-1935",
            "fax_number": "808-969-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLA",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P.",
            "last_name": "SULLA",
            "middle_name": "JOSEPH",
            "prefix": "MR.",
            "suffix": "III",
            "credential": "MA, MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristin Subica
• Brian T. Sugai, DPM
• Charles Ryan Sugiyama, DDS
• Sierra Sugrue, ND
• Jasun Sulla, LMFT
• Coleen Sullivan, DDS
• Emma Joy Serdenia Sumibcay
• Paige Sumida, NP
• Sarah Sumida, PA-C
• Amethyst Agcaoili Sumoba

• Marriage & Family Therapist in Hilo, HI
• Providers in Hilo, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.