DR. KATHRYN LYNN KASENCHAK (NPI# 1376809459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376809459 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN LYNN KASENCHAK |
| Credential | PSY.D. |
| Practice Address |
15 Kanoa St Hilo HI 96720-2426 |
| Practice Telephone | 8083453058 |
| Mailing Telephone | 8083453058 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1279 | HI | Behavioral Health & Social Service Providers |
| Street Address |
15 KANOA ST |
| City | HILO |
| State | HI |
| Zip Code | 96720-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285745794 | William Ryan Shelton | Naturopath | 15 Kanoa St, Hilo, HI 96720-2426 | 2006-08-31 |
| 1740816313 | Travis Slagle | Counselor | 15 Kanoa St, Hilo, HI 96720-2426 | 2020-03-16 |
| 1881051795 | Bryce Healy | Naturopath | 15 Kanoa St, Hilo, HI 96720-2426 | 2016-01-22 |
| 1609132323 | Pacific Quest | Residential Treatment Facility, Emotionally Disturbed Children | 15 Kanoa St, Hilo, HI 96720-2426 | 2012-04-06 |
| 1023328564 | Mark G White | Counselor | 15 Kanoa St, Hilo, HI 96720-2426 | 2010-10-18 |
| 1659685493 | Pacific Quest Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 15 Kanoa St, Hilo, HI 96720-2426 | 2010-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215398326 | Nino Murray | Psychologist | 101 Aupuni St Ste 313, Hilo, HI 96720-4262 | 2016-03-16 |
| 1396173001 | Kristin Rajala | Psychologist | 45 Mohouli Street, Ste #101, Hilo Medical Center -hawaii Island Family Health Center, Hilo, HI 96720 | 2013-10-16 |
| 1124376132 | Vicki Morein Stoddard | Psychologist | 519 Inia Ln, Hilo, HI 96720-2618 | 2012-08-22 |
| 1013275205 | Tracy Miyoko Taniguchi Yamasaki | Psychologist | 688 Kinoole St Ste 206, Hilo, HI 96720-3869 | 2012-04-25 |
| 1659652444 | Jason Ryan Kealii Adams | Psychologist | 1550 Keanaloa Pl, Hilo, HI 96720-1544 | 2011-09-07 |
| 1538341052 | Lisa A.k. Kaneshiro, Psyd, LLC | Psychologist | 1266 Kamehameha Av, Suite B, Hilo, HI 96720 | 2007-11-27 |
| 1699821264 | Devon Akemi Masuda | Psychologist | 101 Aupuni St Ste 250, Hilo, HI 96720-4262 | 2007-01-26 |
| 1003963125 | Margaret Mary Matsunami | Psychologist | 308 Kamehameha Ave, Suite 209, Hilo, HI 96720-2960 | 2007-01-03 |
| 1285729491 | Bea Austin | Psychologist | 101 Aupuni Street, #250, Hilo, HI 96720 | 2006-10-04 |
| 1649224841 | Don Mitsuo Hashimoto | Psychologist | 56 Waianuenue Ave, Hilo, HI 96720-2474 | 2006-05-20 |
| Find all providers in HILO | ||||
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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.