NPIMap

Organization Active NPI

Alo Ha Psychological Associates Inc.

Doing business as Aloha Psych Associates

  • Psychologist
  • San Diego, CA
National Provider Identifier
1770918674
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY20658 Issued in CA
Legal business name
ALO HA PSYCHOLOGICAL ASSOCIATES INC.
Doing business as
Aloha Psych Associates
Practice address
3517 Camino del Rio S Ste 302
San Diego, CA 92108-4029
Phone
(619) 996-3195
Fax
(619) 996-3196
NPI assigned
Sep 10, 2013
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Sean Hodges, PHDNPI 1134182058
Title
President
Phone
(619) 996-3195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY20658 CA Primary

Addresses

Primary practice location

3517 Camino del Rio S Ste 302
San Diego, CA 92108-4029

Mailing address

3517 Camino del Rio S Ste 302
San Diego, CA 92108-4029
Phone (619) 996-3195

Other names 1

  • Aloha Psych Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140301000213 CA Part B Supplier - Clinic/Group Practice 3476783978 Receives reassigned benefits from 24 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

3517 Camino del Rio S
Ste 302
San Diego, CA 92108
Phone (619) 996-3195

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1770918674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 CAMINO DEL RIO S STE 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084029",
            "telephone_number": "619-996-3195",
            "fax_number": "619-996-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 CAMINO DEL RIO S STE 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084029",
            "telephone_number": "619-996-3195",
            "fax_number": "619-996-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALO HA PSYCHOLOGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-996-3195",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloha Psych Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.