ROB L. WETZEL, PHD, INC (NPI# 1073794798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073794798 |
| Entity Type | Organization |
| Organization Name | ROB L. WETZEL, PHD, INC |
| Practice Address |
1600 Kapiolani Blvd Suite 1306 Honolulu HI 96814-3801 |
| Practice Telephone | 8089497444 |
| Practice Fax Number | 8089496262 |
| Mailing Telephone | 8089497444 |
| Mailing Fax Number | 8089496262 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | DR. ROB L WETZEL (PRESIDENT) |
| Authorized Official Telephone | 8089497444 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
PSY174 | HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 05372301 | 05 |
| Street Address |
1600 KAPIOLANI BLVD SUITE 1306 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258504 | Kevin K. Saito | Dentist | 1600 Kapiolani Blvd, Ste 515, Honolulu, HI 96814-3801 | 2005-07-12 |
| 1346795408 | Brennan Nicholas Takagi | Dentist | 1600 Kapiolani Blvd, Suite 807, Honolulu, HI 96814-3801 | 2016-08-18 |
| 1912355017 | Marymay V. Hardy | Counselor | 1600 Kapiolani Blvd, Suite 1306, Honolulu, HI 96814-3801 | 2016-05-30 |
| 1295157006 | Lim's Action Chiropractic, LLC | Chiropractor | 1600 Kapiolani Blvd, Suite #1660, Honolulu, HI 96814-3801 | 2014-01-13 |
| 1902246440 | Desiree Villec | Behavioral Analyst | 1600 Kapiolani Blvd, 1325, Honolulu, HI 96814-3801 | 2013-06-28 |
| 1376884882 | Dr. Khan Lau Optometrist | Optometrist | 1600 Kapiolani Blvd, Suite 105, Honolulu, HI 96814-3801 | 2013-03-07 |
| 1306185616 | Jessie Mitchell | Behavioral Analyst | 1600 Kapiolani Blvd, Honolulu, HI 96814-3801 | 2013-02-06 |
| 1841539152 | Faye Neves | Behavioral Analyst | 1600 Kapiolani Blvd, Honolulu, HI 96814-3801 | 2013-02-06 |
| 1952647992 | Liane Chu | Behavioral Analyst | 1600 Kapiolani Blvd, 1325, Honolulu, HI 96814-3801 | 2012-12-19 |
| 1376804377 | Krista Marie Graves | Acupuncturist | 1600 Kapiolani Blvd, #1421, Honolulu, HI 96814-3801 | 2012-06-06 |
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| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.