Individual provider Active NPI

Michael J Kou, PSYD

  • Clinical Psychologist
  • Aiea, HI
National Provider Identifier
1780758409
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY566 Issued in HI
Practice address
98 1247 Kaahumanu St
223
Aiea, HI 96701-5310
Phone
(808) 487-5433
Fax
(808) 487-5444
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY566 HI Primary

Addresses

Primary practice location

98 1247 Kaahumanu St
223
Aiea, HI 96701-5310

Mailing address

98 1247 Kaahumanu St
223
Aiea, HI 96701-5310
Phone (808) 487-5433

Other identifiers 3

IdentifierTypeStateIssuer
07690001MedicaidHI
A010OtherTRICARE
204721OtherHMSA

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
I20051128000353 HI Practitioner - Clinical Psychologist 0244250991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ola Hou ClinicGroup PAC ID 8022038769, 2 clinicians

Practice addresses (Care Compare)

98 -1247 Kaahumanu St
Suite 223
Aiea, HI 96701-5310

98-084 Kamehameha Hwy
Suite 306
Aiea, HI 96701-5124
Phone (808) 487-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of Hawaii Department of Health CurrentSince Jan 4, 2010 Accepting new patients
State of Hawaii Department of Health CurrentSince Jan 4, 2010 Accepting new patients
State of Hawaii, Department of Health Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 4, 2010 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jan 4, 2010 Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1700 Lanakila Ave
Honolulu, HI 96817
Phone (808) 832-3823

3627 Kilauea Ave
Ste 410
Honolulu, HI 96816
Phone (808) 733-9260

45-691 Keaahala Rd
Kaneohe, HI 96744
Phone (808) 233-3775

1830 Honoapiilani Hwy
Lahaina, HI 96761
Phone (808) 662-4031

860 4th St
Ste 204
Pearl City, HI 96782
Phone (808) 453-5950

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780758409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 1247 KAAHUMANU ST",
            "address_2": "223",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015310",
            "telephone_number": "808-487-5433",
            "fax_number": "808-487-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 1247 KAAHUMANU ST",
            "address_2": "223",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015310",
            "telephone_number": "808-487-5433",
            "fax_number": "808-487-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOU",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07690001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "204721",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.