Chris Enomoto

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-2070 Issued in HI

Practice address

45-270 William Henry Rd Ste 207
Kaneohe, HI 96744-5808

Phone

(808) 379-3031

NPI assigned

Feb 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Breakthrough Therapy

  • Clinical Psychologist
  • Kaneohe, HI
  • NPI 1205531456
  NPD Authorized official

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1447499124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-270 WILLIAM HENRY RD STE 207",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445808",
            "telephone_number": "808-379-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-270 WILLIAM HENRY RD STE 207",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445808",
            "telephone_number": "808-379-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOMOTO",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-19",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005402",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-2070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleu Physical Therapy
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• En Fleur Behavior Analysis, LLC
• Bethany Englund, D.D.S.
• Dana Etherington
• Expanding Horizons Hawaii
• Shanyn Fafard-Kaaihue, RN
• Carol A Fahy, PHD
• Family Eye Care Associates - Kaneohe LLC

• Clinical Psychologist in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2023; 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.