Maui Neuropsychology Group, Inc

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

MAUI NEUROPSYCHOLOGY GROUP, INC

Practice address

285 W Kaahumanu Ave Ste 202
Kahului, HI 96732-1623

Phone

(866) 855-2427

NPI assigned

Aug 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. C Swann

Title

Ceo

Phone

(866) 855-2427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Swann, PH.D.

  • Clinical Neuropsychologist
  • Kahului, HI
  • NPI 1568532968
  Medicare reassignment NPD
• Julie Shoup, LMSW

  • Clinical Social Worker
  • Wailuku, HI
  • NPI 1467874172
  NPD (past)
• Kassel Tuzon Taeza-Vincent

  • Marriage & Family Therapist
  • Wailuku, HI
  • NPI 1013408509
  NPD (past)

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1982330916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E KAMEHAMEHA AVE STE 104-248",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W KAAHUMANU AVE STE 202",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321623",
            "telephone_number": "866-855-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI NEUROPSYCHOLOGY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "SWANN",
        "authorized_official_first_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-855-2427",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mikiala Lee Maynard, DNP, FNP, APRN-RX

• Clinical Neuropsychologist in Kahului, HI
• Providers in Kahului, HI by specialty
• Clinical Neuropsychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.