Active NPI
Med Boss Consulting LLC
- Counseling Psychologist
- Aiea, HI
National Provider Identifier
1770159808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 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 DirectoryNPI 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.