MICHAEL MAKOTO KALAEULA BOPA LEE (NPI# 1013487479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013487479 |
| Entity Type | Individual |
| Full Name | MICHAEL MAKOTO KALAEULA BOPA LEE |
| Practice Address |
875 Waimanu St Ste 612 Honolulu HI 96813-5267 |
| Practice Telephone | 8087916713 |
| Practice Fax Number | 8087916081 |
| Mailing Telephone | 8087916713 |
| Mailing Fax Number | 8087916081 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182172 | Michael Lee | Technician | 901 Summit St, Wheeling, WV 26003-3201 | 2020-10-19 |
| 1346848793 | Michael Lee | Physical Therapist | 360 W Ocean Blvd Apt 502, Long Beach, CA 90802-4608 | 2020-10-16 |
| 1487284824 | Michael William Lee Jr. | Nurse Practitioner | 1100 Lake Elsie Dr, Tavares, FL 32778-4985 | 2020-01-24 |
| 1275025678 | Michael Lee | Registered Nurse | 27505 Tampa Ave Apt 57, Hayward, CA 94544-5111 | 2018-05-31 |
| 1952828709 | Michael Lee | Durable Medical Equipment & Medical Supplies | 4317 172nd St, Flushing, NY 11358-3320 | 2017-08-23 |
| 1811444680 | Michael Douglas Lee | Pharmacist | 1805 Sw Santa Barbara Pl, Cape Coral, FL 33991-3459 | 2016-09-08 |
| 1174902654 | Michael Lee | Dentist | 12400 E 40 Hwy, Independence, MO 64055-5929 | 2015-05-29 |
| 1669851556 | Michael Joo Lee | Student in an Organized Health Care Education/Training Program | 1077 Beacon St, Unit 11, Brookline, MA 02446-5672 | 2015-05-25 |
| 1639500325 | Michael Lee | Counselor | 32 Fordway St, Derry, NH 03038-2634 | 2013-12-05 |
| 1235572322 | Michael Anthony Lee Jr. | Pediatrics | 300 Longwood Ave Bch3066, Divison of Emergency Medicine, Boston, MA 02115-5724 | 2013-04-09 |
| Street Address |
875 WAIMANU ST STE 612 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-5267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265828545 | Marie Kahokualakai Babino | Counselor | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2015-04-13 |
| 1407495823 | Shaianne De Rego | Psychologist | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2020-01-02 |
| 1922645548 | David Yoji Nakao | Social Worker | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2019-12-02 |
| 1689219537 | Hien Pham Quach | Social Worker | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2019-11-14 |
| 1558915934 | Kiana Amby | Social Worker | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2019-07-24 |
| 1730741471 | Season N Uperesa | Psychologist | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2019-07-02 |
| 1851951727 | Kuulei Salzer | Counselor | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2019-06-13 |
| 1780242172 | Jason Keone Pang | Social Worker | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2019-05-31 |
| 1902366123 | Eunice Marie Louise Meadoux | Social Worker | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2019-03-22 |
| 1780158659 | Jelan Mason | Behavioral Analyst | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2019-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487086609 | Amanda Popovich | Psychologist | 545 Iaukea St, Honolulu, HI 96813-1428 | 2013-07-31 |
| 1306153168 | Cesar David Rueda | Psychologist | 500 Ala Moana Blvd Ste 7-400, Honolulu, HI 96813-4902 | 2010-08-31 |
| 1326363961 | Abe Bunji Tokioka | Psychologist | 1147 Waianiani Pl, Honolulu, HI 96821-1223 | 2010-04-06 |
| 1376703629 | Yuri Hasegawa Lee | Psychologist | 1009 Kapiolani Blvd Apt 2607, Honolulu, HI 96814-2168 | 2008-06-11 |
| 1720125032 | Alaka'i Na Keiki, Inc. | Psychologist | 1100 Alakea St, Unit 9, Honolulu, HI 96813-2833 | 2007-01-30 |
| 1043365448 | Richard J Kravetz | Psychologist | 122 Hoahana Pl, Honolulu, HI 96825-3520 | 2007-01-24 |
| 1407495823 | Shaianne De Rego | Psychologist | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2020-01-02 |
| 1871905711 | Behavioral and Therapeutic Services of Hawaii LLC | Psychologist | 710 Palekaua St, Honolulu, HI 96816-4755 | 2014-05-27 |
| 1639216708 | Linda Hufano | Psychologist | 1100 Alakea St, Unit 9, Honolulu, HI 96813-2833 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013392364 | Lauren Elaine Ampolos | Psychologist | 415 Dairy Rd Ste E-323, Kahului, HI 96732-2348 | 2015-07-28 |
| 1700033461 | Beverly Salas | Psychologist | 47a Pilipu Pl, Kailua, HI 96734-2120 | 2008-08-25 |
| 1215005673 | Nada Rose Mangialetti | Psychologist | 91-110 Hanua St, #208a, Kapolei, HI 96707-1705 | 2006-12-01 |
| 1134177785 | Lisa Kaneshiro | Psychologist | 15-2866 Pahoa Villiage Road, Pahoa, HI 96778 | 2006-05-05 |
| 1790776664 | Mark Scott Verschell | Psychologist | 1312 Manu Aloha St, Kailua, HI 96734-4314 | 2005-10-31 |
| 1346697117 | Dewayne Bettag | Psychologist | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2016-05-20 |
| 1841613866 | Melissa Kay Vargo | Psychologist | 407 Uluniu St, Suite #412, Kailua, HI 96734-2519 | 2014-01-27 |
| 1396942611 | Laurie Edwards | Psychologist | 407 Uluniu St, 105, Kailua, HI 96734-2519 | 2007-06-29 |
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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.