Provider Demographics
NPI:1225528631
Name:AINOA PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:AINOA PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEKSANDRA
Authorized Official - Middle Name:TOSOVIC-
Authorized Official - Last Name:YAMASHIROYA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-773-1779
Mailing Address - Street 1:91-3575 KAULUAKOKO UNIT 1501
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5861
Mailing Address - Country:US
Mailing Address - Phone:808-773-1779
Mailing Address - Fax:808-748-0525
Practice Address - Street 1:91-3575 KAULUAKOKO UNIT 1501
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-5861
Practice Address - Country:US
Practice Address - Phone:808-773-1779
Practice Address - Fax:808-784-0525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-11
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-1656103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty