DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU4 (NPI# 1447504139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447504139 |
| Entity Type | Organization |
| Organization Name | DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU4 |
| Practice Address |
45-691 Keaahala Rd Kaneohe HI 96744-3569 |
| Mailing Address |
1250 Punchbowl St Room 463 Attn: Phao Honolulu HI 96813-2416 |
| Practice Telephone | 8085876043 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | DR. DAVID FRAY (CHIEF) |
| Authorized Official Telephone | 8085865842 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
45-691 KEAAHALA RD |
| 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 |
| 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 |
| 1164791562 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 45-691 Keaahala Rd, Oahu Central Fgc-kaneohe, Kaneohe, HI 96744-3569 | 2011-12-14 |
| 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 |
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| 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 | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821341959 | Dept. of Health-hawaii-developmental Disabilities Division Cmukauai | Clinic/Center | 3040 Umi St, Lihue, HI 96766-1828 | 2012-10-26 |
| 1285987313 | Dept. of Health-hawaii-developmental Disabilities Division Cmuhawaii | Clinic/Center | 46 Keawe St, Hilo, HI 96720-2459 | 2012-10-26 |
| 1689927758 | Dept. of Health-hawaii-developmental Disabilities Division Cmu5 | Clinic/Center | 2201 Waimano Home Rd, Hale 'e', Pearl City, HI 96782-1474 | 2012-10-25 |
| 1164776829 | Dept. of Health-hawaii-developmental Disabilities Division Cmu8 | Clinic/Center | 2201 Waimano Home Rd, Hale 'd', Pearl City, HI 96782-1474 | 2012-11-02 |
| 1083968747 | Dept. of Health-hawaii-developmental Disabilities Division Cmu7 | Clinic/Center | 2201 Waimano Home Rd, Hale 'e', Pearl City, HI 96782-1474 | 2012-11-02 |
| 1457605149 | Dept. of Health-hawaii-developmental Disabilities Division Cmu6 | Clinic/Center | 2201 Waimano Home Rd, Hale 'd', Pearl City, HI 96782-1474 | 2012-11-01 |
| 1306190301 | Dept. of Health-hawaii-developmental Disabilities Division Cmu1 | Clinic/Center | 3627 Kilauea Ave, Room 411 Ddd-cmu 1, Honolulu, HI 96816-2317 | 2012-10-30 |
| 1255685277 | Dept. of Health-hawaii-developmental Disabilities Division Cmu3 | Clinic/Center | 601 Kamokila Blvd, Room 300 Ddd-cmu3, Kapolei, HI 96707-2023 | 2012-10-29 |
| 1336493352 | Dept. of Health-hawaii-developmental Disabilities Division Cmu2 | Clinic/Center | 601 Kamokila Blvd, Room 300 Ddd-cmu2, Kapolei, HI 96707-2023 | 2012-10-29 |
| 1275886301 | Dept. of Health-hawaii-developmental Disabilities Division Cmumaui | Clinic/Center | 210 Imi Kala St, Suite 105, Wailuku, HI 96793-1274 | 2012-10-26 |
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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.