Organization Active NPI

James F Efstation and Associates Inc

  • Clinical Psychologist
  • Kapaau, HI
National Provider Identifier
1407166366
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
769 Issued in HI
Legal business name
JAMES F EFSTATION AND ASSOCIATES INC
Practice address
543885 Akoni Pule Hwy
211-D
Kapaau, HI 96755
Phone
(808) 889-6200
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. James F Efstation, PH.D.NPI 1104881283
Title
President/Owner
Phone
(808) 895-1370

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 769 HI Primary

Addresses

Primary practice location

543885 Akoni Pule Hwy
211-D
Kapaau, HI 96755

Mailing address

PO Box 115
Kapaau, HI 96755-0115
Phone (808) 895-1370

Other names 1

  • JEA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310001174 HI Part B Supplier - Clinic/Group Practice 6002704996 Receives reassigned benefits from 1 practitioner
Practice locations: Kapaau, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1407166366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "967550115",
            "telephone_number": "808-895-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543885 AKONI PULE HWY",
            "address_2": "211-D",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "96755",
            "telephone_number": "808-889-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F EFSTATION AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "EFSTATION",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "808-895-1370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kapaau, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.