Kevin Lee Fujimoto, Psy.D.
Psychologist, Clinical in Kaneohe, HI. Individual provider (NPI-1).
NPI number1740329036
StatusActive
Last updated in NPPESMar 23, 2009
Details
- NPI
- 1740329036
- Entity type
- Individual (NPI-1)
- Name
- Kevin Lee Fujimoto
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2007
- Last updated
- Mar 23, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- Medicare opt-out
- Oct 1, 2019 to Oct 1, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY861 | HI | Yes |
Practice location
45-955 Kamehameha HwySuite 206
Kaneohe, HI 96744-3222
Phone 808-218-8733
Mailing address
45-955 Kamehameha HwySuite 206
Kaneohe, HI 96744-3222
Phone 808-218-8733
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