JON JOSEPH CISNEROS (NPI# 1699244509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699244509 |
| Entity Type | Individual |
| Full Name | JON JOSEPH CISNEROS |
| Credential | PSY.D. |
| Practice Address |
333 Sixth St Lanai City HI 96763 |
| Mailing Address |
Po Box 630142 Lanai City HI 96763 |
| Practice Telephone | 8085656919 |
| Practice Fax Number | 8085659111 |
| Mailing Telephone | 8085656919 |
| Mailing Fax Number | 8085656919 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-1825 | HI | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1441 Kapiolani Blvd Ste 1802, Honolulu, HI 968144408 | 8085256255 | |
| 56-117 Pualalea St, Kahuku, HI 967312052 | 8085256255 |
| Street Address |
333 SIXTH ST |
| City | LANAI CITY |
| State | HI |
| Zip Code | 96763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396081 | Juvy Rivad Alconcel | Massage Therapist | 1382 Lanai Avenue, 1382 Lanai Avenue, Lanai City, HI 96763 | 2020-11-04 |
| 1134726029 | Lanai Kinaole Inc | In Home Supportive Care | 617 Ilima Ave, Lanai City, HI 96763 | 2020-10-05 |
| 1962060020 | Lanai Kinaole Inc | Home Health | 617 Ilima Avenue, Lanai City, HI 96763 | 2019-06-04 |
| 1922589316 | Venture Physical Therapy LLC | Physical Therapist | 628 Ilima Ave, Lanai City, HI 96763 | 2018-08-24 |
| 1154843746 | Michele Ann Evangelista | Massage Therapist | 1270 Olapa Street, Lanai City, HI 96763 | 2017-07-14 |
| 1558722678 | Karen Brown | Specialist | 436 Iliahi St, Lanai City, HI 96763 | 2016-03-17 |
| 1588050983 | Rainbow Pharmacy, LLC | Pharmacy | 431 Seventh St, Lanai City, HI 96763 | 2015-04-13 |
| 1578951612 | Jamie Kamailani Boyd | Registered Nurse | 832 Kiele Street, Lanai City, HI 96763 | 2014-12-23 |
| 1801208178 | Hawaii Dental Clinic Lanai | Dentist | 730 Lanai Avenue #101, Lanai City, HI 96763 | 2014-05-21 |
| 1316362395 | Mental Health Kokua | Community Health Worker | 730 Lanai Street, Ste114, Lanai City, HI 96763 | 2014-02-27 |
| Find all providers in zip 96763 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871766352 | Sharon Rae Liden | Psychologist | 272 Lanai Ave., Lanai City, HI 96763 | 2008-04-07 |
| 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 |
| 1811512635 | Waves of Insight, LLC | Psychologist | 98-402 Koauka Loop Apt 1404, Aiea, HI 96701-4573 | 2020-06-09 |
| 1710511100 | Lighthouse Therapy & Diagnostic Services | Psychologist | 2509 Kolo Road, Kilauea, HI 96754 | 2020-02-25 |
| 1811546435 | Tami Babino | Psychologist | 95-1249 Meheula Pkwy Ste 195, Mililani, HI 96789-1791 | 2019-09-06 |
| 1477119899 | Patrick Akira Jichaku | Psychologist | 58-129 Wehiwa Way, Haleiwa, HI 96712-9757 | 2019-05-10 |
| 1427513563 | Hannah Im | Psychologist | 377 Keahole St Ste 210, Honolulu, HI 96825-3405 | 2019-02-03 |
| 1427521897 | Amithea Love | Psychologist | 2037 Puu Kaa St, Kapaa, HI 96746-2339 | 2019-01-08 |
| 1447729629 | Caitlin J. Tyrrell | Psychologist | 47-668 Hui Kelu St Apt 5, Kaneohe, HI 96744-4626 | 2018-11-17 |
| 1407339344 | Dhira Dibiase | Psychologist | 341 Hualani St, Kailua, HI 96734-2202 | 2018-09-06 |
| Find all providers with the same taxonomy | ||||
| City | LANAI CITY |
| Zip Code | 96763 |
Please comment or provide details below to improve the information on JON JOSEPH CISNEROS.
| 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.