DR. MICHELLE K. FUKUMOTO PH.D.
NPI 1134436041
Psychologist - Clinical in Honolulu, HI

Q: What is Michelle Fukumoto's NPI number?

The NPI number for Michelle Fukumoto is 1134436041. It was assigned to this individual provider in the NPPES registry on September 13, 2010.

Q: What is Michelle Fukumoto's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Fukumoto was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2010PECOS EnrolledAccepts Medicare Assignment

1110 UNIVERSITY AVE., SUITE #403, HONOLULU, HI 96826(808) 594-6217 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michelle K. Fukumoto Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELLE K. FUKUMOTO PH.D. (NPI 1134436041) is an individual clinical provider in Honolulu, Hawaii, licensed in Hawaii (PSY-1502) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1134436041

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHELLE K. FUKUMOTOCredential: PH.D.

Location Address1110 UNIVERSITY AVE., SUITE #403Honolulu, HI 96826

Mailing AddressP.o. Box 283249Honolulu, HI 96828 · (808) 594-6217

Phone(808) 594-6217

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 13, 2010

Last NPPES UpdateNovember 12, 2014

✔ NPI 1134436041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in HI · PSY-1502

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1110 UNIVERSITY AVE., Honolulu, HI 96826

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michelle K. Fukumoto Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638495229

PECOS Enrollment IDI20150225001154

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96826 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.05 typical visit price

range $60.53 – $180.05

Typical copayment $45.01 (range $15.13 – $45.01)

Most-billed visit code 99205

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Fukumoto's NPI number?

The NPI number for Michelle Fukumoto is 1134436041. It was assigned to this individual provider in the NPPES registry on September 13, 2010.

Where is Michelle Fukumoto located?

Michelle Fukumoto practices at 1110 University Ave. Suite #403, Honolulu, HI 96826. The listed phone number is (808) 594-6217.

What is Michelle Fukumoto's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michelle Fukumoto enrolled in Medicare?

Yes. Michelle Fukumoto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle Fukumoto accept?

Health plans from HMSA list Michelle Fukumoto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Fukumoto was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.