DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION (NPI# 1164791562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164791562 |
| Entity Type | Organization |
| Organization Name | DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION |
| Practice Address |
45-691 Keaahala Rd Oahu Central Fgc-kaneohe Kaneohe HI 96744-3569 |
| Mailing Address |
3627 Kilauea Ave Room 101-attn: Phao Honolulu HI 96816-2317 |
| Practice Telephone | 8082333770 |
| Practice Fax Number | 8082335659 |
| Mailing Telephone | 8087334198 |
| Mailing Fax Number | 8087338375 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |
| Authorized Official Name | DR. M. STANTON MICHELS (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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932477999 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 4111 Hana Hwy, Maui-fgc-hana, Hana, HI 96713 | 2011-12-06 |
| 1255609202 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 555 Fraser Ave, Maui-fgc-lanai, Lanai City, HI 96763 | 2011-12-06 |
| 1942577739 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 54-010 Kukuna St, Oahu Central-fgc-hauula, Hauula, HI 96717-9628 | 2011-11-21 |
| 1235406208 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 3-3204 Kuhio Hwy, Room 104-kauai Fgc, Lihue, HI 96766-1135 | 2011-11-18 |
| 1700153772 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 601 Kamokila Blvd, Room 355-oahu Leeward Fgc, Kapolei, HI 96707-2023 | 2011-11-18 |
| 1871860841 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 1830 Honoapiilani Hwy, Maui-fgc-lahaina, Lahaina, HI 96761-1856 | 2011-11-18 |
| 1255600656 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 860 Fourth St, 2nd Floor-oahu Central Fgc, Pearl City, HI 96782-3312 | 2011-12-14 |
| 1437428836 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 3627 Kilauea Ave, Room 401-honolulu Fgc, Honolulu, HI 96816-2317 | 2011-12-14 |
| 1184992158 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 65 Makaena St, Maui-fgc-molokai, Kaunakakai, HI 96748 | 2011-12-06 |
| 1518234582 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 88 Kanoelehua Ave, Suite A-204: Hawaii Fgc-hilo, Hilo, HI 96720-4670 | 2011-11-18 |
| Street Address |
45-691 KEAAHALA RD OAHU CENTRAL FGC-KANEOHE |
| City | KANEOHE |
| State | HI |
| Zip Code | 96744-3569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013943604 | Cynthia Visner | Psychiatry & Neurology | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2006-06-24 |
| 1972134112 | Pamela J Adam | Registered Nurse | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2020-01-27 |
| 1407499767 | Jessica Maria Dixson | Dietitian, Registered | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2019-10-18 |
| 1023679776 | Melanae M Gimang | Registered Nurse | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2019-06-24 |
| 1447504139 | Dept. of Health-hawaii-developmental Disabilities Division Cmu4 | Clinic/Center | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2012-11-01 |
| 1811245509 | Debra Coundias | Social Worker | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2012-08-28 |
| 1467721993 | Kristie Kido | Speech-Language Pathologist | 45-691 Keaahala Rd, Room 30, Kaneohe, HI 96744-3569 | 2011-12-29 |
| 1154619732 | Maria Evelyn Yncierto Bermisa | Registered Nurse | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2011-07-15 |
| 1649567512 | State of Hawaii, Dept of Health, Adult Mental Health Division | Clinic/Center | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2011-06-29 |
| 1134421852 | Sonia Lumabao I | Licensed Practical Nurse | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2010-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820026 | Kathleen Rhoads Merriam | Counselor | Wiindward Oahu Treatment Services Section, 45-691 Keaahala Road, Bldg. F, Kaneohe, HI 96744 | 2020-01-14 |
| 1760945430 | Claudia Isabella Sema | Counselor | Hina Mauka, 47-333 Hui Iwastreet, Suite # 11, Kaneohe, HI 96744 | 2019-04-10 |
| 1497217251 | The Evangelical Lutheran Good Samaritan Society | In Home Supportive Care | 45-090 Namoku St. Cottage H, Kaneohe, HI 96744 | 2019-04-02 |
| 1386117778 | Kasse-ann Akemi Kiriu-dela Cruz | Behavior Technician | 45-955 Kamehameha Hwy., Kaneohe, HI 96744 | 2019-01-08 |
| 1689177826 | Alexander P Dunnum | Military Hospital | 1/12 Battalion Aid Station, 6894r Selby St, Kaneohe, HI 96744 | 2018-03-14 |
| 1225545056 | Corinna Aquino | Behavior Technician | 95-955 Kamehameha Hwy., #404, Kaneohe, HI 96744 | 2018-01-02 |
| 1861901704 | Jayna L. Chung, D.d.s. | Dentist | 46-001 Kamehamcha Hwy Suite 418, Kaneohe, HI 96744 | 2017-09-22 |
| 1366981938 | Andrew Ho'ola'iku Johnson | Dentist | 45-943 Kamehameha Hwy Ste 201, Kaneohe, HI 96744 | 2017-02-15 |
| 1669829099 | William Robert Sicilia | Student in an Organized Health Care Education/Training Program | 46-056 Kamehameha Highway, Suite 288, Kaneohe, HI 96744 | 2016-05-16 |
| 1558729434 | Douglas Frisbie | Marriage & Family Therapist | 45-21 Likeke Place, Kaneohe, HI 96744 | 2016-02-05 |
| Find all providers in zip 96744 | ||||
| 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 |
|---|---|---|---|---|
| 1093199507 | Florily Juliane | Community/Behavioral Health | 45-701 Puohala St, Kaneohe, HI 96744-2839 | 2015-07-14 |
| 1962678201 | Timothy Bengzon Villegas | Community/Behavioral Health | 47-344 Waihee Rd, Kaneohe, HI 96744-4949 | 2008-05-06 |
| 1922281815 | Community Mental Health Center Clubhouse-ko'olau | Community/Behavioral Health | 46-016 Alaloa St, Kaneohe, HI 96744 | 2007-12-13 |
| 1154752434 | State of Hawaii Department of Health Adult Mental Health Division | Community/Behavioral Health | 45-710 Keaahala Rd, Kaneohe, HI 96744-3528 | 2013-12-11 |
| 1780836866 | Nai'a Aloha, LLC | Community/Behavioral Health | 47-669 Melekula Rd, #10, Kaneohe, HI 96744 | 2008-10-21 |
| 1346423977 | State of Hawaii Department of Health | Community/Behavioral Health | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2007-12-05 |
| 1427100551 | The Institute for Family Enrichment | Community/Behavioral Health | 46-005 Kawa St, Suite 206, Kaneohe, HI 96744-3805 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596655 | Ho'ola Na Pua | Community/Behavioral Health | 58-130 Kamehameha Hwy, Haleiwa, HI 96712-9714 | 2020-07-27 |
| 1861000119 | Myra H Shindo | Community/Behavioral Health | 134 Walker Ave, Wahiawa, HI 96786-1817 | 2020-07-22 |
| 1922616549 | Child and Family Service | Community/Behavioral Health | 95-1091 Ainamakua Dr, Mililani, HI 96789-4252 | 2020-07-20 |
| 1114571973 | House of Blessings | Community/Behavioral Health | 148 Lakeview Cir, Wahiawa, HI 96786-1531 | 2019-07-30 |
| 1558927194 | Team Care Clinical Services, LLC | Community/Behavioral Health | 66-434 Kamehameha Hwy Ste B, Haleiwa, HI 96712 | 2019-05-17 |
| 1528523248 | Pamela Matsuda Friar Lcsw, Inc. | Community/Behavioral Health | 25 Kaneohe Bay Dr Ste 204, Kailua, HI 96734-1734 | 2019-02-06 |
| 1649744921 | Big Island Behavior Interventions | Community/Behavioral Health | 16-566 Keaau Pahoa Rd Ste 188-111, Keaau, HI 96749-8137 | 2019-01-19 |
| 1790251940 | Anelalani K. M. Raposas | Community/Behavioral Health | 85-888 Farrington Hwy Ste 207, Waianae, HI 96792-2403 | 2018-10-15 |
| 1841794807 | Ke Alaula, Inc. | Community/Behavioral Health | 101 Aupuni St Ste 213, Hilo, HI 96720-4221 | 2018-03-22 |
| 1154824407 | Kipuka Counseling and Consulting, LLC | Community/Behavioral Health | 15-1463 Awa Ave, Keaau, HI 96749 | 2018-03-13 |
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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.