Organization Active NPI

Med Boss Consulting LLC

  • Counseling Psychologist
  • Aiea, HI
National Provider Identifier
1770159808
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
MED BOSS CONSULTING LLC
Practice address
99-149 Moanalua Rd Ste 201
Aiea, HI 96701-4001
Phone
(808) 468-2439
Fax
(844) 442-8248
NPI assigned
May 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Authorized official

Name
Jana Smith
Title
Ceo
Phone
(239) 258-1477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

99-149 Moanalua Rd Ste 201
Aiea, HI 96701-4001

Mailing address

10641 Windsmont CT
Lehigh Acres, FL 33936-7268
Phone (239) 258-1477

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622332800000",
    "number": "1770159808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10641 WINDSMONT CT",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339367268",
            "telephone_number": "239-258-1477",
            "fax_number": "844-442-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-149 MOANALUA RD STE 201",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014001",
            "telephone_number": "808-468-2439",
            "fax_number": "844-442-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED BOSS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-258-1477"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.