Individual provider Active NPI

Joseph Keawe'Aimoku Kaholokula, PH.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1710105473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY977 Issued in HI
Practice address
651 Ilalo St
Meb 307-H
Honolulu, HI 96813-5525
Phone
(808) 692-1047
Fax
(808) 692-1255
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

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 PSY977 HI Primary

Addresses

Primary practice location

651 Ilalo St
Meb 307-H
Honolulu, HI 96813-5525

Mailing address

2316 Kanealii Ave
Front House
Honolulu, HI 96813-1344
Phone (808) 221-2481

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY977HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital PastSince Jan 1, 2015 Accepting new patients
Hui No Ke Ola Pono, Inc. PastSince Dec 28, 2015 Accepting new patients

Organizations & group practices 2

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710105473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 KANEALII AVE",
            "address_2": "FRONT HOUSE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968131344",
            "telephone_number": "808-221-2481",
            "fax_number": "808-692-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ILALO ST",
            "address_2": "MEB 307-H",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135525",
            "telephone_number": "808-692-1047",
            "fax_number": "808-692-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHOLOKULA",
        "first_name": "JOSEPH",
        "middle_name": "KEAWE'AIMOKU",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.