NOVA LUNA (NPI# 1649483124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649483124 |
| Entity Type | Organization |
| Organization Name | NOVA LUNA |
| Practice Address |
1152 Makawao Ave Makawao HI 96768-9448 |
| Mailing Address |
1135 Makawao Ave Pmb 340 Makawao HI 96768-7403 |
| Practice Telephone | 8088709886 |
| Mailing Telephone | 8088709886 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MICHELLE VILLANTI (CLINICIAN) |
| Authorized Official Telephone | 8088709886 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | LCSW3028 | HI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA | 259812 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Nova Luna Studio LLC | 2905 Neil Dr Apt 11, Fort Collins, CO 80526 |
| Street Address |
1152 MAKAWAO AVE |
| City | MAKAWAO |
| State | HI |
| Zip Code | 96768-9448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720100365 | Michelle Villanti | Social Worker | 1152 Makawao Ave, Makawao, HI 96768-9448 | 2007-04-04 |
| 1750526208 | Paul David Solomon | Social Worker | 1152 Makawao Ave, Suite 202, Makawao, HI 96768-7404 | 2008-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016853 | Jennifer Marie Slaughter | Social Worker | 1931 Baldwin Ave., Makawao, HI 96768 | 2019-10-31 |
| 1265083018 | Jacob Joseph Wardach | Nurse Practitioner | 81 Makawao Ave #100, Makawao, HI 96768 | 2019-09-24 |
| 1629570908 | Darran Kim | Optometrist | 24 Kiopa'a Street #102, Pukalani, HI 96768 | 2018-03-02 |
| 1487196226 | On The Path Counseling, LLC | Marriage & Family Therapist | 21 B Kealaloa Ave, Makawao, HI 96768 | 2016-11-10 |
| 1255794517 | Kimberly Dolan | Counselor | 1043 Makawao Ave Ste 209b, Makawao, HI 96768 | 2016-04-03 |
| 1023406238 | Sarah Chin Kasai | Optometrist | 8 Kiopaa Street, #102, Makawao, HI 96768 | 2014-12-23 |
| 1407251192 | Vida Rose Yap | Counselor | 1931 Baldwin Avenue, Makawao, HI 96768 | 2014-10-24 |
| 1477965911 | Karen Molina | Massage Therapist | 714a Pelenaka Pl., Makawao, HI 96768 | 2014-06-02 |
| 1023364213 | Adrianna Marie Flavin | Psychologist | 7 Aewa Place, Unit 7-a, Pukalani, HI 96768 | 2012-07-25 |
| 1184982514 | Nina Vishnevska | Psychiatry & Neurology | 1 Kahakapao Rd., Makewao, HI 96768 | 2012-04-23 |
| Find all providers in zip 96768 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659522118 | Kahi Mohala | Psychiatric Hospital | 91-2301 Old Fort Weaver Rd., Ewa Beach, HI 96706 | 2008-10-02 |
| 1457569550 | Hawaii Residency Programs Inc. | Psychiatric Hospital | 1356 Lusitana St Ste 510, Honolulu, HI 96813-2421 | 2007-05-21 |
| 1477519908 | Sutter Health Pacific | Psychiatric Hospital | 91-2301 Fort Weaver Rd, Ewa Beach, HI 96706-3602 | 2006-04-24 |
| 1407197767 | Queens Medical Center | Psychiatric Hospital | 1374 Nuuanu Ave, Honolulu, HI 96817-4032 | 2013-03-12 |
| 1013143940 | Queens Medical Center | Psychiatric Hospital | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2009-06-05 |
| 1588878748 | State of Hawaii Department of Health | Psychiatric Hospital | 45-710 Keaahala Rd, Business Office, Kaneohe, HI 96744-3528 | 2007-05-09 |
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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.