WALLACE R. SHRINSKI, MFT (NPI# 1003268012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003268012 |
| Entity Type | Organization |
| Organization Name | WALLACE R. SHRINSKI, MFT |
| Practice Address |
75-127 Lunapule Rd 15b Kailua Kona HI 96740-2119 |
| Mailing Address |
Po Box 2264 Kealakekua HI 96750-2264 |
| Practice Telephone | 8089877306 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | WALLACE R SHRINSKI (OWNER) |
| Authorized Official Telephone | 8089877306 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 230 | HI | Agencies |
| Street Address |
75-127 LUNAPULE RD 15B |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932260411 | Janet Francois Matlock | Marriage & Family Therapist | 75-127 Lunapule Rd, Kailua Kona, HI 96740-2119 | 2006-12-12 |
| 1881249340 | Janet F. Matlock | Community/Behavioral Health | 75-127 Lunapule Rd, Kailua Kona, HI 96740-2119 | 2019-08-01 |
| 1164892303 | Dana Moody | Community/Behavioral Health | 75-127 Lunapule Rd, Suite 1a, Kailua Kona, HI 96740-2119 | 2015-09-30 |
| 1730556143 | Dana Lizabeth Moody | Marriage & Family Therapist | 75-127 Lunapule Rd, Suite 15 B, Kailua Kona, HI 96740-2119 | 2015-09-02 |
| 1710354584 | Ramona T. Estrada | Community/Behavioral Health | 75-127 Lunapule Rd, Suite 15b, Kailua Kona, HI 96740-2119 | 2015-08-27 |
| 1457734626 | Carly Gordon | Speech-Language Pathologist | 75-127 Lunapule Rd, 11, Kailua Kona, HI 96740-2119 | 2015-07-06 |
| 1356724124 | Reina Acacio Lmft | Community/Behavioral Health | 75-127 Lunapule Rd, Suite 15b, Kailua Kona, HI 96740-2119 | 2015-06-29 |
| 1518376508 | Nancy V Bloomfield | Physical Therapist | 75-127 Lunapule Rd, Suite 11, Kailua Kona, HI 96740-2119 | 2014-08-05 |
| 1174870760 | Family Support Hawaii | Early Intervention Provider Agency | 75-127 Lunapule Rd, Suite 11, Kailua Kona, HI 96740-2119 | 2012-08-14 |
| 1720335318 | Family Support Services of Westhawaii | Early Intervention Provider Agency | 75-127 Lunapule Rd, Suite 11, Kailua Kona, HI 96740-2119 | 2012-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| 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 |
|---|---|---|---|---|
| 1700069697 | Community Mental Health Center Clubhouse-kona Paradise | Community/Behavioral Health | 77-6435 Kuakini Highway, Kailua Kona, HI 96740 | 2007-12-13 |
| 1548450224 | Inner Resource Center, Inc | Community/Behavioral Health | 75-6000 Alii Dr, Kailua Kona, HI 96740-2310 | 2007-07-27 |
| 1881249340 | Janet F. Matlock | Community/Behavioral Health | 75-127 Lunapule Rd, Kailua Kona, HI 96740-2119 | 2019-08-01 |
| 1164892303 | Dana Moody | Community/Behavioral Health | 75-127 Lunapule Rd, Suite 1a, Kailua Kona, HI 96740-2119 | 2015-09-30 |
| 1710354584 | Ramona T. Estrada | Community/Behavioral Health | 75-127 Lunapule Rd, Suite 15b, Kailua Kona, HI 96740-2119 | 2015-08-27 |
| 1356724124 | Reina Acacio Lmft | Community/Behavioral Health | 75-127 Lunapule Rd, Suite 15b, Kailua Kona, HI 96740-2119 | 2015-06-29 |
| 1275926248 | Cynthia G Meyer | Community/Behavioral Health | 74-381 Kealakehe Pkwy, #f, Kailua Kona, HI 96740-2705 | 2015-03-13 |
| 1033477872 | Roger A Weiss, Inc | Community/Behavioral Health | 75-5744 Alii Dr, Kailua Kona, HI 96740-1784 | 2012-04-30 |
| 1841318169 | Access Capabilities, Inc | Community/Behavioral Health | 75-5995 Kuakini Hwy, Pottery Terrace, Suite 425, Kailua Kona, HI 96740-2144 | 2007-03-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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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.