STATE OF HAWAII DEPARTMENT OF HEALTH (NPI# 1164708954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164708954 |
| Entity Type | Organization |
| Organization Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Other Organization Name | CAMHD - LAUREL HEIGHTS HOSPITAL MAINLAND |
| Practice Address |
3627 Kilauea Ave Rm 101 Honolulu HI 96816-2317 |
| Practice Telephone | 8087339333 |
| Practice Fax Number | 8087339357 |
| Mailing Telephone | 8087339333 |
| Mailing Fax Number | 8087339357 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |
| Authorized Official Name | DR. STANTON MICHELS (CAMHD ADMINISTRATOR) |
| Authorized Official Telephone | 8087339339 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| CAMHD - Laurel Heights Hospital Mainland | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770747131 | State of Hawaii Department of Health | Community/Behavioral Health | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-07-15 |
| 1194908087 | State of Hawaii Department of Health | Community/Behavioral Health | 65 Makaena St, Suite 107, Kaunakakai, HI 96748 | 2007-12-13 |
| 1942483839 | State of Hawaii Department of Health | Community/Behavioral Health | 730 Lanai Ave, Suite 6, Lanai City, HI 96763 | 2007-12-13 |
| 1174706063 | State of Hawaii Department of Health | Community/Behavioral Health | 219 B Kaaliki Road, Naalehu, HI 96772 | 2007-12-13 |
| 1679756563 | State of Hawaii Department of Health | Community/Behavioral Health | 54-010 Kukuna Road, Hauula, HI 96717 | 2007-12-13 |
| 1891978789 | State of Hawaii Department of Health | Community/Behavioral Health | 67-5189 Kamamalu St, Kamuela, HI 96743 | 2007-12-13 |
| 1346423233 | State of Hawaii Department of Health | Community/Behavioral Health | 3-3212 Kuhio Highway, Lihue, HI 96766 | 2007-12-13 |
| 1104009091 | State of Hawaii Department of Health | Community/Behavioral Health | 1830 Hooapiilani Highway, Lahaina, HI 96761 | 2007-12-13 |
| 1083897979 | State of Hawaii Department of Health | Community/Behavioral Health | 15-2866 Govt. Road Pahoa Town Center, Bldg. E, Pahoa, HI 96778 | 2007-12-13 |
| 1710263504 | State of Hawaii Department of Health | Community/Behavioral Health | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2011-10-25 |
| Street Address |
3627 KILAUEA AVE RM 101 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96816-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104091297 | Adam Allan Coles | Specialist | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2008-04-29 |
| 1659918183 | Quinn A Nelson | Case Manager/Care Coordinator | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2019-12-03 |
| 1326696626 | Kelsie Ferguson | Student in an Organized Health Care Education/Training Program | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2019-08-29 |
| 1215594296 | Kevin Joseph Sweeney | Counselor | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2019-05-24 |
| 1538722459 | Linda L. Ikeda | Specialist | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2019-04-16 |
| 1275097545 | Llasmin Chaine | Social Worker | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2019-01-30 |
| 1780186692 | Ada Demleitner | Specialist | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2018-03-06 |
| 1235630716 | Ariel Wallace-wong | Social Worker | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2018-02-21 |
| 1386162592 | Brenda Lee Mcdaniel | Student in an Organized Health Care Education/Training Program | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2017-09-07 |
| 1316464027 | Alyssa Quinquileria Jaravata | Case Manager/Care Coordinator | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2017-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1184272007 | Gwen Mikasa | Speech-Language Pathologist | Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 | 2019-09-04 |
| 1467009290 | Abigail Hobbs | Occupational Therapist | 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 | 2019-08-26 |
| 1588210587 | Mona Ann Hiyoto Akina | Speech-Language Pathologist | 475 2nd Ave., Room 127, Honolulu, HI 96816 | 2019-08-15 |
| 1356996599 | Karen Amanda Kama | Speech-Language Pathologist | Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 | 2019-08-05 |
| 1043864630 | Brittni Holt | Speech-Language Pathologist | 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 | 2019-07-31 |
| 1376197962 | Mallory Register | Speech-Language Pathologist | 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 | 2019-07-31 |
| 1588144935 | Mihoko Yacavone | Dietitian, Registered | 833 15th Ave, Honolulu, HI 96816 | 2018-08-15 |
| 1760976013 | Orthopaedic Specialists Hawaii LLC | Orthopaedic Surgery | 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 | 2018-06-20 |
| 1790207389 | Richard Todd Robbins Jr. | Behavior Technician | 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 | 2017-07-14 |
| Find all providers in zip 96816 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104376482 | Integrative Therapy Services | Community/Behavioral Health | 3388 Salt Lake Blvd, 207, Honolulu, HI 96818-2120 | 2016-10-10 |
| 1619325396 | Family Programs Hawaii | Community/Behavioral Health | 250 Vineyard St, Honolulu, HI 96813-2445 | 2016-06-02 |
| 1457729667 | Jennifer Quinn-hastings LLC | Community/Behavioral Health | 3480 Waialae Ave, Suite 2, Honolulu, HI 96816-2657 | 2015-09-03 |
| 1942689526 | Bayada Home Care | Community/Behavioral Health | 4510 Salt Lake Blvd Ste B6&d8, Honolulu, HI 96818-3153 | 2015-05-28 |
| 1245628338 | Counseling Services LLC | Community/Behavioral Health | 1314 S King St Ste 603, Honolulu, HI 96814-1941 | 2014-12-26 |
| 1598161671 | Positive Behavioral Interventions | Community/Behavioral Health | 614 Cooke St Ste 205, Honolulu, HI 96813-5251 | 2014-11-17 |
| 1295138311 | New Hope Counseling Center | Community/Behavioral Health | 401 Kamakee St Ste 305, Honolulu, HI 96814-4243 | 2014-10-02 |
| 1386069763 | Gateway Educational Services | Community/Behavioral Health | 1803 N King St, Honolulu, HI 96819-3451 | 2014-02-21 |
| 1619307592 | Janice Y.w. Chang, Psy.d. Inc. | Community/Behavioral Health | 1126 12th Ave Ste 201, Honolulu, HI 96816-3715 | 2013-11-14 |
| 1073867867 | Island Integrated Health LLC | Community/Behavioral Health | 1600 Kapiolani Blvd Ste 1311, Honolulu, HI 96814-3876 | 2012-11-01 |
| Find all providers in HONOLULU | ||||
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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.