Individual provider Active NPI

Maria Briones, PH.D.

  • Psychologist
  • Koloa, HI
National Provider Identifier
1861544025
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-673 Issued in HI
Practice address
3176 Poipu Rd Ste 5
Koloa, HI 96756-9521
Phone
(808) 742-6446
NPI assigned
Jan 17, 2007
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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-673 HI Primary

Addresses

Primary practice location

3176 Poipu Rd Ste 5
Koloa, HI 96756-9521

Mailing address

5473 Puulima Rd # C
Kalaheo, HI 96741-9301
Phone (808) 742-6446

Other identifiers 5

IdentifierTypeStateIssuer
507832-01MedicaidHI
50783201OtherHIALOHACARE
234518OtherHIHMSA
9172-01OtherHIPACIFICARE
481900OtherHIVALUE OPTIONS

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
I20120224000142 HI Practitioner - Clinical Psychologist 6305737206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3176 Poipu Rd
Suite 5
Koloa, HI 96756-9521
Phone (808) 742-6446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY-673HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Briones, PH.D., Inc. Psychologist CurrentSince Jan 1, 1999 Accepting new patients

Locations

3176 Poipu Rd
Ste 5
Koloa, HI 96756
Phone (808) 742-6446

Organizations & group practices 1

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1861544025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 PUULIMA RD # C",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967419301",
            "telephone_number": "808-742-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 POIPU RD STE 5",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569521",
            "telephone_number": "808-742-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIONES",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507832-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE",
            "identifier": "50783201",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "234518",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "9172-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "481900",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Koloa, HI

Sources for this page

Verify at the official NPI Registry.