Island Counseling Affiliates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

682 Issued in HI

Legal business name

ISLAND COUNSELING AFFILIATES, LLC

Practice address

76-6300 Mahuahua PL
Kailua Kona, HI 96740-2224

Phone

(808) 326-7653

Fax

(808) 329-0188

NPI assigned

Jan 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James C Manley, PH.D.NPI 1992855027

Title

Member

Phone

(808) 326-7653

Specialties & licenses 1

Addresses

Practitioners 1

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.

• James C Manley, PH.D.

  • Forensic Psychologist
  • Kailua Kona, HI
  • NPI 1992855027
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851441257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76-6300 MAHUAHUA PL",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402224",
            "telephone_number": "808-326-7653",
            "fax_number": "808-329-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76-6300 MAHUAHUA PL",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402224",
            "telephone_number": "808-326-7653",
            "fax_number": "808-329-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND COUNSELING AFFILIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-326-7653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iml Island Enterprises Inc
• Inner Resource Center, Inc
• Yuka Inoue, LMT
• Jelsa Marticio Isidro, TRANSPORTATION
• Island Cardiovascular & Vein Institute LLC
• Island Dermatology LLC
• Island Eye Care, Inc
• Island Heart Care LLC
• Island Mobile Health Care
• Vasyl Issel

• Clinical Psychologist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.