Individual provider Active NPI

Joshua Jonathan Ford

  • Clinical Psychologist
  • Pearl City, HI
National Provider Identifier
1679509723
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-902 Issued in HI
Practice address
919 Lehua Ave
Pearl City, HI 96782-3328
Phone
(808) 453-1919
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PSY-902 HI Primary

Addresses

Primary practice location

919 Lehua Ave
Pearl City, HI 96782-3328

Mailing address

9340 NE 76TH St
Vancouver, WA 98662-3721
Phone (808) 236-2260

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
I20060817000200 HI Practitioner - Clinical Psychologist 1456354265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-902HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Hawaii Department of Health CurrentSince Aug 27, 2011 Accepting new patients
Joshua Ford PSYD LLC Clinical CurrentSince May 12, 2024 Accepting new patients
State of Hawaii, Department of Health Current Accepting new patients
State of Hawaii Department of Health CurrentSince Aug 27, 2011 Accepting new patients

Locations

1700 Lanakila Ave
Honolulu, HI 96817
Phone (808) 832-3823

3627 Kilauea Ave
Ste 410
Honolulu, HI 96816
Phone (808) 733-9260

45-691 Keaahala Rd
Kaneohe, HI 96744
Phone (808) 233-3775

1830 Honoapiilani Hwy
Lahaina, HI 96761
Phone (808) 662-4031

860 4th St
Ste 204
Pearl City, HI 96782
Phone (808) 453-5950

Organizations & group practices 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679509723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 NE 76TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623721",
            "telephone_number": "808-236-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 LEHUA AVE",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823328",
            "telephone_number": "808-453-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JOSHUA",
        "middle_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

Verify at the official NPI Registry.