KAHALA CLINIC LLC


Address: 4211 Waialae Ave, Suite 207, Honolulu, HI 96816-5319
Phone: 8085427349

KAHALA CLINIC LLC (NPI# 1053666842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053666842
Entity Type Organization
Organization Name KAHALA CLINIC LLC
Practice Address 4211 Waialae Ave
Suite 207
Honolulu
HI 96816-5319
Practice Telephone 8085427349
Enumeration Date 2012-07-17
Last Update Date 2012-07-17
Authorized Official Name JASON RICHARD KEIFER (OWNER)
Authorized Official Telephone 8085427349
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
MD12987 HI Allopathic & Osteopathic Physicians

Office Location

Street Address 4211 WAIALAE AVE
SUITE 207
City HONOLULU
State HI
Zip Code 96816-5319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962457317 Sheri Sloggett Shanks Psychologist 4211 Waialae Ave, Suite 206a, Honolulu, HI 96816-5319 2006-05-24
1699301408 Elizabeth A Pavlik Nurse Practitioner 4211 Waialae Ave, Honolulu, HI 96816-5319 2020-03-13
1902366099 Grisel M Reyes-dennis Nurse Practitioner 4211 Waialae Ave, Honolulu, HI 96816-5319 2019-03-23
1891285664 Marchael T Andres Massage Therapist 4211 Waialae Ave, Honolulu, HI 96816-5319 2018-05-16
1134621352 Glenn Morikawa Pharmacist 4211 Waialae Ave, Honolulu, HI 96816-5319 2018-03-03
1710488606 Kenna Muramoto Pharmacist 4211 Waialae Ave, Honolulu, HI 96816-5319 2018-02-26
1972001337 Angelica Hong Pharmacist 4211 Waialae Ave, Honolulu, HI 96816-5319 2018-01-31
1750821278 Cassie Robinson Massage Therapist 4211 Waialae Ave, Honolulu, HI 96816-5319 2017-03-02
1417402082 Jamie Mizusawa Pharmacist 4211 Waialae Ave, Honolulu, HI 96816-5319 2016-08-24
1588012884 Nadalin Inc Massage Therapist 4211 Waialae Ave, Honolulu, HI 96816-5319 2016-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598370439 Marina Nogues Nurse Practitioner 3901b Maunahilu Pl, Honolulu, HI 96816 2020-09-08
1184272007 Gwen Mikasa Speech-Language Pathologist Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 2019-09-04
1467009290 Abigail Hobbs Occupational Therapist 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 2019-08-26
1588210587 Mona Ann Hiyoto Akina Speech-Language Pathologist 475 2nd Ave., Room 127, Honolulu, HI 96816 2019-08-15
1356996599 Karen Amanda Kama Speech-Language Pathologist Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 2019-08-05
1043864630 Brittni Holt Speech-Language Pathologist 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 2019-07-31
1376197962 Mallory Register Speech-Language Pathologist 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 2019-07-31
1588144935 Mihoko Yacavone Dietitian, Registered 833 15th Ave, Honolulu, HI 96816 2018-08-15
1760976013 Orthopaedic Specialists Hawaii LLC Orthopaedic Surgery 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 2018-06-20
1790207389 Richard Todd Robbins Jr. Behavior Technician 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 2017-07-14
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205459492 Outcomes Clinic LLC Psychiatry & Neurology 243 N Judd St Apt C, Honolulu, HI 96817-1747 2020-05-21
1932564861 Kahala Clinic for Children & Family Inc Psychiatry & Neurology 4211 Waialae Ave Ste 207, Honolulu, HI 96816-5312 2015-12-18
1982876371 Alayne Yates Psychiatry & Neurology 242 Opihikao Way, Honolulu, HI 96825 2008-03-26
1831398148 Josephine Pardenilla Horita Psychiatry & Neurology 4211 Waialae Ave Ste 208, Honolulu, HI 96816-5312 2007-07-16
1548488570 Lili Kelly Psychiatry & Neurology 320 Ohua Ave, Ste 802, Honolulu, HI 96815-3670 2007-04-23
1851456297 Eberhard Martin Mann Psychiatry & Neurology 1650 Kanunu St Ph 1, Honolulu, HI 96814-2743 2006-12-26
1275770752 Mind & Body Works, Inc. Psychiatry & Neurology 3340 Wauke St, Honolulu, HI 96815-4452 2009-01-20
1699978783 Judith M Steel Psychiatry & Neurology 1356 Lusitana St, 4th Floor, Honolulu, HI 96813-2421 2007-06-07
1184833022 Tina Rae Melendrez-chu Psychiatry & Neurology 1441 Kapiolani Blvd Fl 16, Honolulu, HI 96814-4402 2007-05-21
1013123918 Daniel A. Alicata Psychiatry & Neurology 1356 Lusitana St, 4th Floor, Honolulu, HI 96813-2421 2007-05-15
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Competitor

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City HONOLULU
Zip Code 96816

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Dataset Information

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.

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