Individual provider Active NPI

Justin Maeda, PH.D.

  • Psychologist
  • Waipahu, HI
National Provider Identifier
1770992919
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 1477 Issued in HI
Practice address
94-1480 Moaniani St
Kaiser Permanente Waipio Clinic
Waipahu, HI 96797-4632
Phone
(808) 432-3100
NPI assigned
Aug 12, 2014
Last updated
Oct 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 1477 HI Primary

Addresses

Primary practice location

94-1480 Moaniani St
Kaiser Permanente Waipio Clinic
Waipahu, HI 96797-4632

Mailing address

94-1480 Moaniani Street
Kaiser Permanente Waipio Clinic
Waipahu, HI 96797
Phone (808) 432-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150122002757 HI Practitioner - Clinical Psychologist 0042534075 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians
Kaiser Foundation Health Plan IncGroup PAC ID 1850205360, 107 clinicians

Practice addresses (Care Compare)

550 S Beretania St
Suite 300
Honolulu, HI 96813-2423
Phone (808) 686-4620

599 Farrington Hwy
Kapolei, HI 96707-2028
Phone (808) 432-3668

94 -1480 Moaniani St
Waipahu, HI 96797-4632
Phone (808) 432-3177

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 1477HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan Inc Current Accepting new patients
The Queens Medical Center CurrentSince Sep 13, 2021 Accepting new patients
Kaiser Foundation Health Plan, Inc CurrentSince Aug 3, 2015 Accepting new patients
Kaiser Foundation Health Plan Inc CurrentSince Aug 3, 2015 Accepting new patients
The Queen's Medical Center Current Accepting new patients
The Queen's Medical Center CurrentSince Sep 13, 2021 Accepting new patients
Queens University Medical Group CurrentSince Jul 1, 2022 Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

550 S Beretania St
Ste 300
Honolulu, HI 96813
Phone (808) 536-3773

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600

94-1480 Moaniani St
Waipahu, HI 96797
Phone (808) 432-2000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1770992919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1480 MOANIANI STREET",
            "address_2": "KAISER PERMANENTE WAIPIO CLINIC",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-432-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1480 MOANIANI ST",
            "address_2": "KAISER PERMANENTE WAIPIO CLINIC",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974632",
            "telephone_number": "808-432-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEDA",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY 1477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.