C. KIMO CHAN, M.D., LLC (NPI# 1063740470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063740470 |
| Entity Type | Organization |
| Organization Name | C. KIMO CHAN, M.D., LLC |
| Practice Address |
46-271 Haiku Rd Kaneohe HI 96744-4144 |
| Practice Telephone | 8082354204 |
| Mailing Telephone | 8082354204 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |
| Authorized Official Name | DR. C. KIMO CHAN (CHILD & ADOLESCENT PSYCHIATRIST) |
| Authorized Official Telephone | 8083711311 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
46-271 HAIKU RD |
| City | KANEOHE |
| State | HI |
| Zip Code | 96744-4144 |
| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801997010 | Marva L Lawson | Psychiatry & Neurology | 46-001 Kamehameha Hwy, Kaneohe, HI 96744-3711 | 2006-09-26 |
| 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 |
| 1518294966 | Gordon Duff Jensen | Psychiatry & Neurology | 91-521a Hapalua St, Ewa Beach, HI 96706-2929 | 2009-11-05 |
| 1033383153 | Sara Marie Chiu | Psychiatry & Neurology | 88 Kanoelehua Ave Ste A204, Hilo, HI 96720-4670 | 2008-04-18 |
| 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 |
| 1063617132 | Elodie Schaffer Imonen | Psychiatry & Neurology | 44-2944 Kalaniai Rd, Honokaa, HI 96727-6870 | 2007-06-19 |
| 1548488570 | Lili Kelly | Psychiatry & Neurology | 320 Ohua Ave, Ste 802, Honolulu, HI 96815-3670 | 2007-04-23 |
| 1750509253 | Chia Granda | Psychiatry & Neurology | 3-3204 Kuhio Hwy Ste 104, Lihue, HI 96766-1135 | 2007-04-23 |
| 1851456297 | Eberhard Martin Mann | Psychiatry & Neurology | 1650 Kanunu St Ph 1, Honolulu, HI 96814-2743 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
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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.