KEN MATSUMOTO (NPI# 1225187222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225187222 |
| Entity Type | Individual |
| Full Name | KEN MATSUMOTO |
| Credential | M.D. |
| Practice Address |
1700 Lanakila Ave Honolulu HI 96817-2115 |
| Practice Telephone | 8088323823 |
| Practice Fax Number | 8088325850 |
| Mailing Telephone | 8088323823 |
| Mailing Fax Number | 8088325850 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD-9851 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1700 LANAKILA AVE |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379311 | Patrick John Kong Chang | Dentist | 1700 Lanakila Ave, 203, Honolulu, HI 96817-2115 | 2005-07-07 |
| 1316429681 | Frank Lee | Registered Nurse | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2018-09-04 |
| 1326410556 | Brenda L.c. Bauer-smith | Psychologist | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2015-10-27 |
| 1154704864 | Madoka Moroe | Social Worker | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2015-06-30 |
| 1306264080 | Michele Brooks | Registered Nurse | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2014-03-31 |
| 1073931754 | Trina Wright | Social Worker | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2014-03-31 |
| 1851726822 | Andrew Tseu | Dentist | 1700 Lanakila Ave, Rm. 203, Honolulu, HI 96817-2115 | 2013-09-10 |
| 1467890095 | Kalihi-palama Health Center | Clinic/Center | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2013-06-05 |
| 1790057867 | Dolly Tatofi | Social Worker | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2012-02-03 |
| 1861760472 | Don D Pedro | Psychologist | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2011-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619729 | Chad Imanaka | Psychiatry & Neurology | Psychiatry Residency Program, 1356 Lusitana Street, 4th Floor, Honolulu, HI 96813-1030 | 2018-05-18 |
| 1639551294 | William Portman | Psychiatry & Neurology | 604 Koko Isle Cir, Honolulu, HI 96825-1815 | 2015-06-19 |
| 1184060790 | Alexandra G. Takayesu | Psychiatry & Neurology | 1401 S Beretania St Ste 920, Honolulu, HI 96814 | 2013-05-22 |
| 1366784761 | Richard S. Chung | Psychiatry & Neurology | 7724 Kalohelani Pl, Honolulu, HI 96825-2818 | 2013-03-23 |
| 1588900674 | Kwong Yen Lum | Psychiatry & Neurology | 1350 Ala Moana Blvd Ph 4, Honolulu, HI 96814-4229 | 2012-12-18 |
| 1700156627 | Caitlin Engelhard | Psychiatry & Neurology | University of Hawaii, Department of Psychiatry, 1356 Lusitana Street, 4th Floor, Honolulu, HI 96813 | 2012-01-09 |
| 1710286489 | Jaime Stevens | Psychiatry & Neurology | 770 Punahou St, Honolulu, HI 96826-3660 | 2011-03-21 |
| 1346540705 | Gretchenjan Cube Gavero | Psychiatry & Neurology | 1356 Lusitania St, 4th Floor, Honolulu, HI 96813-2409 | 2010-11-01 |
| 1750519336 | Robert A. Hyman, M.d., LLC | Psychiatry & Neurology | 1188 Bishop St Ste 1133, Honolulu, HI 96813-3301 | 2009-06-23 |
| 1497989149 | Thomas Lanno Cook Iv | Psychiatry & Neurology | 1110 University Ave Ste 302, Honolulu, HI 96826-1544 | 2009-05-11 |
| 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.