Active NPI
Jason Ryan Kealii Adams, PH.D.
- Clinical Psychologist
- Hilo, HI
National Provider Identifier
1659652444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1209
- Practice address
- 1550 Keanaloa PL
Hilo, HI 96720-1544 - Phone
- (808) 333-6235
- NPI assigned
- Sep 7, 2011
- Last updated
- Apr 26, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1209 | HI | Primary |
| Clinical Psychologist | 103TC0700X | 5623685-2501 | UT |
Addresses
Primary practice location
1550 Keanaloa PL
Hilo, HI 96720-1544
Mailing address
1550 Keanaloa PL
Hilo, HI 96720-1544
Phone (808) 333-6235
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 |
|---|---|---|---|
| 5623685-2501 | UT | MD | Clinical Psychologist |
| 1209 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1659652444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 KEANALOA PL",
"city": "HILO",
"state": "HI",
"postal_code": "967201544",
"telephone_number": "808-333-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 KEANALOA PL",
"city": "HILO",
"state": "HI",
"postal_code": "967201544",
"telephone_number": "808-333-6235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JASON",
"middle_name": "RYAN KEALII",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-07",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "1209",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "5623685-2501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.