Iao Mind & Body Health, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

IAO MIND & BODY HEALTH, LLC

Practice address

664 Lauie Dr
Kula, HI 96790-7218

Phone

(808) 389-2611

NPI assigned

Sep 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Haunani Iao, PSY.DNPI 1659560753

Title

Owner

Phone

(808) 389-2611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haunani M. Iao, PSY.D

  • Clinical Psychologist
  • Kula, HI
  • NPI 1659560753

  Clinical, HI

  Medicare reassignment NPD Authorized official
• Cassendra E Caceres-Licos, PSYD

  • Psychologist
  • Nellis Afb, NV
  • NPI 1700261492
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1720535776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967900722",
            "telephone_number": "808-389-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 LAUIE DR",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907218",
            "telephone_number": "808-389-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAO MIND & BODY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "IAO",
        "authorized_official_first_name": "HAUNANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-389-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Greenwood, L.AC
• Haleakala Counseling Collective LLC
• Hana Lima Physical Therapy LLC
• Kristine Ho, LSW, ACSW
• Mary Hutto, RPT
• Haunani M. Iao, PSY.D
• Jackson Friedman D.O .PLLC
• Francine Beth Johansen
• Sisi Johnson, OTR/L
• Jo Anne King, LCSW

• All providers in Kula, HI
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.