Individual provider Active NPI

Davis Kealanohea Kane, PHD

  • Counseling Psychologist
  • Provo, UT
National Provider Identifier
1386221760
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
3325 N University Ave Ste 300
Provo, UT 84604-7412
Phone
(801) 609-8847
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

3325 N University Ave Ste 300
Provo, UT 84604-7412

Mailing address

3325 N University Ave Ste 300
Provo, UT 84604-7412
Phone (801) 609-8847

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@maunapsychology.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mauna Psychology LLC Psychologist Current Accepting new patients
Ola Pono Counseling, LLC Psychologist PastSince Oct 6, 2024 Accepting new patients

Locations

3325 N University Ave
Ste 300
Provo, UT 84604
Phone (801) 472-7134

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1386221760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE STE 300",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047412",
            "telephone_number": "801-609-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE STE 300",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047412",
            "telephone_number": "801-609-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "DAVIS",
        "middle_name": "KEALANOHEA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@maunapsychology.com",
            "affiliation": "N",
            "address_1": "3325 N University Ave Ste 300",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846047412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.