Jon W. Nakamura, M.D., Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MD-6950 Issued in HI

Legal business name

JON W. NAKAMURA, M.D., INC.

Practice address

4374 Kukui Grove St
Suite # 102
Lihue, HI 96766-2007

Phone

(808) 246-6253

Fax

(808) 245-7215

NPI assigned

Aug 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jon Nakamura, M.D.NPI 1215059704

Title

President

Phone

(808) 246-6253

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 3

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

• Jon Nakamura Nakamura, M.D.

  • Psychiatry Physician
  • Lihue, HI
  • NPI 1215059704
  Medicare reassignment NPD Authorized official
• Michael Edward Foley, MSW

  • Clinical Social Worker
  • Lihue, HI
  • NPI 1932253796
  NPD (past)
• John Winnes, MSW

  • Clinical Social Worker
  • Lihue, HI
  • NPI 1790875458
  NPD (past)

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1457785602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 KUKUI GROVE ST",
            "address_2": "SUITE # 102",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662007",
            "telephone_number": "808-246-6253",
            "fax_number": "808-245-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 KUKUI GROVE ST",
            "address_2": "SUITE # 102",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662007",
            "telephone_number": "808-246-6253",
            "fax_number": "808-245-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON W. NAKAMURA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "NAKAMURA",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-246-6253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "HI",
            "license": "MD-6950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00K009442-1",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roseanna Kaohi Nani Jerves
• Allen Campbell Johnson, M.D.
• Kathryn Roby Johnson, LCSW
• Terrie Johnson, PA
• Michael D. Johnston, M.D.
• Jessica Grandinetti Jones
• Christopher A. Jordan, M.D.
• Uakea Jose, LMSW
• Joseph H. Chu, DDS, LTD.
• Ruth Andra Joyce-Higa

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lihue, HI
• Providers in Lihue, HI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.