Sheryllee Tamiko Ponce, M.A., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

141 Issued in HI

Practice address

4272 Rice St Ste C
Lihue, HI 96766-1818

Phone

(808) 651-0937

NPI assigned

Mar 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1609174929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4272 RICE ST STE C",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661818",
            "telephone_number": "808-651-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4272 RICE ST STE C",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661818",
            "telephone_number": "808-651-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "SHERYLLEE",
        "middle_name": "TAMIKO",
        "name_prefix": "Ms.",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond J Petrillo, MD
• Catherine Marie Petterson, OTR, CHT
• Pharmacy Corporation of America
• Matthew Orion Phillips, PA-C
• Raanan Elan Pokroy, M.D.
• Pono Holdings, LLC
• Thomas S. Potter, M.D.
• Jordan Potts, MT
• Howayda M Powers, MD
• Andrea Denise Preuit, RBT

• Marriage & Family Therapist in Lihue, HI
• Providers in Lihue, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.