Amphora LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AMPHORA LLC

Practice address

4236 Carnation PL
Honolulu, HI 96816-3905

Phone

(831) 359-9814

NPI assigned

Dec 9, 2025

Organization subpart

No

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

Authorized official

Name

Govind Rae

Title

Ceo

Phone

(831) 359-9814

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1902769607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 CARNATION PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163905",
            "telephone_number": "831-359-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 CARNATION PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163905",
            "telephone_number": "831-359-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPHORA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "GOVIND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-359-9814"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Moria Amjadi, D.M.D.
• Angelo Anthony Amodio, CST/CSFA
• Trisha Baliquatro Amoguis
• Lisa Ihilani Among
• Stephanie Claire Amormino
• Scott Shokichi Amuro, RRT
• Amy Lumeng, M.D., Inc.
• Amy Wassman PSYD LLC
• Amys Haven Inc
• Chong Son An, APRN-BC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.