Individual provider Active NPI

Noriko Motomasa, PSYD

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1609900778
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
71007165 Issued in IL
Practice address
1001 Bishop Street
Suite 2870
Honolulu, HI 96813-3482
Phone
(808) 538-7793
Fax
(808) 538-7799
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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 71007165 IL Primary

Addresses

Primary practice location

1001 Bishop Street
Suite 2870
Honolulu, HI 96813-3482

Mailing address

1001 Bishop Street
Suite 2870
Honolulu, HI 96813-3482
Phone (808) 538-7793

Other identifiers 3

IdentifierTypeStateIssuer
01615939OtherILBCBS
362327294OtherILFEIN
362327294001MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131223000454 HI Practitioner - Clinical Psychologist 7113083528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

928 Nuuanu Ave
Honolulu, HI 96817-5190
Phone (808) 400-6473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71007165ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Hawaii LLC Clinical CurrentSince Sep 12, 2014 Accepting new patients
Turning Point Behavioral Health Care Center Past Accepting new patients
Turning Point Behavioral Health Care Center Past Accepting new patients

Locations

928 Nuuanu Ave
#2
Honolulu, HI 96817
Phone (808) 400-6473

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1609900778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BISHOP STREET",
            "address_2": "SUITE 2870",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133482",
            "telephone_number": "808-538-7793",
            "fax_number": "808-538-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BISHOP STREET",
            "address_2": "SUITE 2870",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133482",
            "telephone_number": "808-538-7793",
            "fax_number": "808-538-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTOMASA",
        "first_name": "NORIKO",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "71007165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01615939",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "362327294",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362327294001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.