Active NPI
Sara Wong
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1407206352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-1980
- Practice address
- 459 Patterson Rd
Honolulu, HI 96819-1522 - Phone
- (808) 433-0660
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0005648 | CO | |
| Clinical Psychologist | 103TC0700X | PSY-1980 | HI | Primary |
Addresses
Primary practice location
459 Patterson Rd
Honolulu, HI 96819-1522
Mailing address
459 Patterson Rd
Honolulu, HI 96819-1522
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 |
|---|---|---|---|
| PSY.0005648 | CO | MD | Clinical Psychologist |
| PSY-1980 | HI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eiko Psychological Health Services, LLC | Clinical | 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 and National Provider Directory roles.
-
- Clinical Psychologist
- Honolulu, HI
- NPI 1639818362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1407206352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 PATTERSON RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 PATTERSON RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191522",
"telephone_number": "808-433-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2022-10-31",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0005648",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-1980",
"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 Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.