JOSEPH D EUBANKS III (NPI# 1346284783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346284783 |
Entity Type | Individual |
Full Name | JOSEPH D EUBANKS III |
Credential | PHD |
Practice Address |
75-5995 Kuakini Hwy 445 Kailua Kona HI 96740-2123 |
Mailing Address |
75-307 Malulani Dr Kailua Kona HI 96740-2086 |
Practice Telephone | 8088958975 |
Practice Fax Number | 8444046016 |
Mailing Telephone | 8088958975 |
Mailing Fax Number | 2106927707 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2015-09-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 23533 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 097947801 | 05 | |
TX | MEDICARE RAILROAD | 680012400 | 01 |
HI | HMSA BCBS OF HI | 0000309443 | 01 |
TX | BCBS | 00D94B | 01 |
HI | 723933 | 05 | |
TX | EIN | 742756750 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528600756 | Joseph Whatley Eubanks | Hearing Instrument Specialist | 2203 Highway 39 N Ste 3, Meridian, MS 39301-2609 | 2019-10-09 |
Street Address |
75-5995 KUAKINI HWY 445 |
City | KAILUA KONA |
State | HI |
Zip Code | 96740-2123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
Find all providers in zip 96740 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235256132 | Robert Craig Chamberlain | Clinical Neuropsychologist | 75-5995 Kuakini Hwy Ste 605, Kailua Kona, HI 96740-2124 | 2007-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376019927 | Victoria Liou-johnson | Clinical Neuropsychologist | 7192 Kalanianaole Hwy Ste A143a #264, Honolulu, HI 96825 | 2018-10-22 |
1235628587 | Ellen R. Caringer Phd Inc. | Clinical Neuropsychologist | 1885 Main St Ste 207, Wailuku, HI 96793-1827 | 2018-05-02 |
1396190120 | Ashley Levan | Clinical Neuropsychologist | Milestones Center for Pediatric Neurodevelopment, 820 Mililani St. Suite 400, Honolulu, HI 96813 | 2016-04-29 |
1669647244 | Consulting Neuropsychology Services LLC | Clinical Neuropsychologist | 4566 Ohia St Ste 3, Kapaa, HI 96746-1646 | 2008-04-24 |
1063684751 | Louanne Marie Alonzo Varholick | Clinical Neuropsychologist | 216b Lulo Rd, Kapaa, HI 96746-3207 | 2008-04-02 |
1902076763 | Daryl E Fujii | Clinical Neuropsychologist | 130 Kuulei Rd, Kailua, HI 96734-2718 | 2008-03-08 |
1295890390 | Keith Harvey Claypoole | Clinical Neuropsychologist | 3-3212 Kuhio Hwy, Lihue, HI 96766-1142 | 2006-12-27 |
1982769212 | Daniel B Legoff | Clinical Neuropsychologist | 91-203 Old Fort Weaver Rd, Ewa Beach, HI 96706 | 2006-12-27 |
1033298203 | Laila Spina | Clinical Neuropsychologist | 438 Hobron Ln Ste 409, Honolulu, HI 96815-1229 | 2006-11-06 |
1023197431 | Kenneth Warren Gilstein | Clinical Neuropsychologist | 3579 Kaloke St, Kalaheo, HI 96741-9723 | 2006-11-04 |
Find all providers with the same taxonomy |
City | KAILUA KONA |
Zip Code | 96740 |
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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.