Active NPI
Minnie Eiko Boggs, PH.D.
- Psychologist
- Honolulu, HI
National Provider Identifier
1508951153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 114
- Practice address
- 3266 Alani Drive
Honolulu, HI 96822-1403 - Phone
- (808) 988-0000
- Fax
- (808) 988-0000
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 114 | HI | Primary |
Addresses
Primary practice location
3266 Alani Drive
Honolulu, HI 96822-1403
Mailing address
3266 Alani Drive
Honolulu, HI 96822-1403
Phone (808) 988-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B6091-9 | Other | HI | HMSA PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 114 | HI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508951153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3266 ALANI DRIVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968221403",
"telephone_number": "808-988-0000",
"fax_number": "808-988-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3266 ALANI DRIVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968221403",
"telephone_number": "808-988-0000",
"fax_number": "808-988-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "MINNIE",
"middle_name": "EIKO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY 114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROVIDER NUMBER",
"identifier": "B6091-9",
"state": "HI"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.