Active NPI
Novotelehealth Hi, Inc.
- Psychiatry Physician
- Honolulu, HI
National Provider Identifier
1518688928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- NOVOTELEHEALTH HI, INC.
- Practice address
- 500 Ala Moana Blvd
Honolulu, HI 96813-4920 - Phone
- (203) 528-5643
- NPI assigned
- Sep 6, 2022
- Last updated
- Sep 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cristina Sanchez-Jaquez, MD
- Title
- Owner
- Phone
- (203) 528-5643
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd
Honolulu, HI 96813-4920
Mailing address
1816 Coronado St
Idaho Falls, ID 83404-7453
Phone (203) 528-5643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662422400000",
"number": "1518688928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 CORONADO ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047453",
"telephone_number": "203-528-5643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134920",
"telephone_number": "203-528-5643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVOTELEHEALTH HI, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-02",
"status": "A",
"authorized_official_last_name": "SANCHEZ-JAQUEZ",
"authorized_official_first_name": "CRISTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-528-5643",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"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 Sep 6, 2022; 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.