Active NPI
Joseph J Stafford III, PH.D.
- School Psychologist
- Wailuku, HI
National Provider Identifier
1649656539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1539
- Practice address
- 603 Komo Ohia St
Wailuku, HI 96793-2163 - Phone
- (808) 359-1116
- NPI assigned
- Aug 3, 2015
- Last updated
- Aug 3, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1539 | HI | Primary |
Addresses
Primary practice location
603 Komo Ohia St
Wailuku, HI 96793-2163
Mailing address
603 Komo Ohia St
Wailuku, HI 96793-2163
Phone (808) 359-1116
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1539 | HI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1649656539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 KOMO OHIA ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932163",
"telephone_number": "808-359-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 KOMO OHIA ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932163",
"telephone_number": "808-359-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "JOSEPH",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "HI",
"license": "1539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
- Thomas J Spallino, M.D.
- Bryon Kent Sparks, LIC. AC.
- Spencer Micahel Spencer-Perieff
- Stuart Henry Spielman, M.D.
- St. Francis Medical Center - Maui Dialysis
- Randy W Stark, M.D.
- State of Hawaii Department of Health (Maui Community Mental Health Center-Wailuku)
- State of Hawaii Department of Health
- Mia C Stclair, OTD, OTR/L
- Steadfast Physical Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.