Individual provider Active NPI

Sandra Joy Kosel, PHD

  • Clinical Psychologist
  • Kihei, HI
National Provider Identifier
1538293188
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY424 Issued in HI
Practice address
2752 Ohina St
Kihei, HI 96753-8548
Phone
(808) 875-1348
Fax
(808) 442-0042
NPI assigned
Mar 15, 2007
Last updated
Jul 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY424 HI Primary

Addresses

Primary practice location

2752 Ohina St
Kihei, HI 96753-8548

Mailing address

1215 S Kihei Rd
Ste 0-208
Kihei, HI 96753-5220
Phone (808) 875-1348

Other identifiers 1

IdentifierTypeStateIssuer
HMSA00C0080832OtherHIHMSA PROVIDER ID

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

LicenseStateTypeSpecialty
PSY424HIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1538293188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S KIHEI RD",
            "address_2": "STE 0-208",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967535220",
            "telephone_number": "808-875-1348",
            "fax_number": "808-442-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 OHINA ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538548",
            "telephone_number": "808-875-1348",
            "fax_number": "808-442-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSEL",
        "first_name": "SANDRA",
        "middle_name": "JOY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER ID",
            "identifier": "HMSA00C0080832",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.