DR. MICHELLE K. FUKUMOTO (NPI# 1134436041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134436041 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE K. FUKUMOTO |
| Credential | PH.D. |
| Practice Address |
1110 University Ave. Suite #403 Honolulu HI 96826 |
| Mailing Address |
P.o. Box 283249 Honolulu HI 96828 |
| Practice Telephone | 8085946217 |
| Mailing Telephone | 8085946217 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-1502 | HI | Behavioral Health & Social Service Providers |
| Street Address |
1110 UNIVERSITY AVE. SUITE #403 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382772 | Barbora Kadecka | Pediatrics | 1319 Punahou Street #741, Pediatric Residency Program, Honolulu, HI 96826 | 2020-07-02 |
| 1134784325 | Elizabeth Mercer | Obstetrics & Gynecology | Kapiolani Medical Center, 1319 Punahou Street, #824, Honolulu, HI 96826 | 2019-05-03 |
| 1609334168 | Rebecca Lapenes | Behavior Technician | 831 Kuikahi St, Honolulu, HI 96826 | 2019-03-04 |
| 1144759507 | Sharareh Firouzbakht | Obstetrics & Gynecology | 1319 Punahou Street, #824, Honolulu, HI 96826 | 2017-06-08 |
| 1447623939 | Island Paradise Investments, Lp | Skilled Nursing Facility | 1723 Kalakaua Avenue, Honolulu, HI 96826 | 2015-11-05 |
| 1285004986 | Katie Ann Steinhelfer | Registered Nurse | 2011 Waiola St, Honolulu, HI 96826 | 2015-10-07 |
| 1528463288 | Sara Chong | Chiropractor | 500 University Ave Apt 928, Honolulu, HI 96826 | 2014-10-23 |
| 1053757807 | Salt Lake Family Dentistry | Dentist | 905 C Makahiki Way, Honolulu, HI 96826 | 2013-05-21 |
| 1497072334 | Lajwanti Devyani Singh | Social Worker | 1110 University Ave Ste 205, Honolulu, HI 96826 | 2010-05-03 |
| 1760610133 | Kristoffer Rasos | Counselor | 1737 S. Beretania St #504b, Honolulu, HI 96826 | 2009-06-24 |
| Find all providers in zip 96826 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319008 | Rachel Huxel | Psychologist | 1821 Keeaumoku St Apt 201, Honolulu, HI 96822-3005 | 2020-09-04 |
| 1386256626 | Gabriela Cretu Cretu | Psychologist | 3820 Pukalani Pl, Honolulu, HI 96816-3816 | 2020-08-18 |
| 1427513563 | Hannah Im | Psychologist | 377 Keahole St Ste 210, Honolulu, HI 96825-3405 | 2019-02-03 |
| 1265928873 | Amy Humphrey | Psychologist | 615 Piikoi St Ste 1605, Honolulu, HI 96814-3142 | 2018-07-06 |
| 1346750338 | Nikita M Hay | Psychologist | 361 Hobron Ln, Honolulu, HI 96815-1039 | 2017-10-04 |
| 1346765336 | Vilmarie Baez | Psychologist | 1600 Kapiolani Blvd Ste 1340, Honolulu, HI 96814-3806 | 2017-08-10 |
| 1750815114 | Alex Bliss Walter | Psychologist | 1221 Kapiolani Blvd, Penthouse 38, Hawaii Psychology Collective, Honolulu, HI 96814 | 2017-04-12 |
| 1124567151 | Apostolis Amaxopoulos | Psychologist | 1608 Keeaumoku St, Honolulu, HI 96822-4310 | 2017-02-23 |
| 1700323763 | Istvan Kacso | Psychologist | 1415 Victoria St Apt 1103, Honolulu, HI 96822-3542 | 2017-01-27 |
| 1376085050 | Julie Yurie Takishima-lacasa | Psychologist | 850 W Hind Dr Ste 202, Honolulu, HI 96821-1845 | 2016-11-10 |
| Find all providers in HONOLULU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.