BIG ISLAND PSYCHIATRY LLC (NPI# 1134660582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134660582 |
| Entity Type | Organization |
| Organization Name | BIG ISLAND PSYCHIATRY LLC |
| Other Organization Name | BIG ISLAND PSYCHIATRY |
| Practice Address |
65-1230 Mamalahoa Hwy Ste D21 Kamuela HI 96743-8318 |
| Mailing Address |
Po Box 23 Pahoa HI 96778-0023 |
| Practice Telephone | 2536785715 |
| Mailing Telephone | 2536785715 |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2017-03-18 |
| Authorized Official Name | DR. CHANNING SCOTT SLATE (OWNER) |
| Authorized Official Telephone | 2536785715 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MD-18550 | HI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Big Island Psychiatry | Doing Business As Name - Organization |
| Street Address |
65-1230 MAMALAHOA HWY STE D21 |
| City | KAMUELA |
| State | HI |
| Zip Code | 96743-8318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099144 | Hawaii Cardiology, Inc | Internal Medicine | 65-1230 Mamalahoa Hwy, Suite D10, Kamuela, HI 96743-8318 | 2005-08-09 |
| 1942629241 | Mana Physical Therapy Inc. | Physical Therapist | 65-1230 Mamalahoa Hwy, Suite E11, Kamuela, HI 96743-8318 | 2014-04-15 |
| 1578905766 | Thomas Rogers Thornton | Physical Therapist | 65-1230 Mamalahoa Hwy, E 11, Kamuela, HI 96743-8318 | 2013-07-29 |
| 1366780215 | Madeline Sofranac | Physical Therapist | 65-1230 Mamalahoa Hwy, Kamuela, HI 96743-8318 | 2013-01-28 |
| 1881961852 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 65-1230 Mamalahoa Hwy, Suite A-11-hawaii Fgc-waimea, Kamuela, HI 96743-8318 | 2011-11-18 |
| 1801021621 | Channing Scott Slate | Psychiatry & Neurology | 65-1230 Mamalahoa Hwy, Ste D21, Kamuela, HI 96743-8318 | 2009-05-22 |
| 1063647931 | Kona Center of Facial Surgery | Dentist | 65-1230 Mamalahoa Hwy, C10-12, Kamuela, HI 96743-8318 | 2009-05-21 |
| 1932334042 | Waimea Smiles Inc | Non-Pharmacy Dispensing Site | 65-1230 Mamalahoa Hwy, E-21, Kamuela, HI 96743-8318 | 2009-05-18 |
| 1356548291 | Hiller Orthopedics | Orthopaedic Surgery | 65-1230 Mamalahoa Hwy, Suite C-14, Kamuela, HI 96743-8318 | 2007-07-02 |
| 1386849438 | Kelly Mari Wachi | Internal Medicine | 65-1230 Mamalahoa Hwy, Suite C21, Kamuela, HI 96743-8318 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281848 | Yvonne Peggy Giron | Massage Therapist | 64-5193 Kinohou Street, Suite 106, Kamuela, HI 96743 | 2019-12-04 |
| 1396209706 | Renee Leiokamalia Wulzen | Massage Therapist | Ironwood Center Suite 106, 64-5193 Kinohou Street, Kamuela, HI 96743 | 2019-01-30 |
| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 1093299752 | Welch Family Chiropractic | Chiropractor | 65-1227a Opelo Rd., 103, Kamuela, HI 96743 | 2018-09-19 |
| 1922585272 | Hamakua Health Center, Inc. | Clinic/Center | 65-1230 Mamalahoa Highway, Suite C 13/14, Kamuela, HI 96743 | 2018-07-19 |
| 1184119554 | Elizabeth Kehau Kealoha | Registered Nurse | 64-778 Paelialanui Street, Kamuela, HI 96743 | 2018-06-27 |
| 1851889000 | Juliana Koffman | Behavioral Analyst | 5-1279 Kawaihae Road, Suite 201, Waimea, HI 96743 | 2018-04-24 |
| 1235646365 | Margaret A Horwatt | Acupuncturist | 65-1235 Opelo Rd #2, Kamuela, HI 96743 | 2018-01-10 |
| 1770099574 | Acupuncture Solutions LLC | Acupuncturist | 64-5263 Hoohoa St, Kamuela, HI 96743 | 2017-12-17 |
| 1477064798 | Patty Ann Kaholokula | Behavioral Analyst | 65-1279 Kawaihae Rd, # 210, Kamuela, HI 96743 | 2017-10-12 |
| Find all providers in zip 96743 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777022 | Therapy With Lori, LLC | Clinic/Center | 180 Royal Dr, Kapaa, HI 96746-9683 | 2020-10-16 |
| 1861036071 | Integrative Well-being | Clinic/Center | 2600 Pualani Way Apt 3004, Honolulu, HI 96815-3940 | 2019-10-30 |
| 1366901472 | Bridgette Grant Lcsw LLC | Clinic/Center | 4435 Lower Honoapiillani Rd, 142, Lahaina, HI 96761 | 2019-03-18 |
| 1003375338 | The Journey Therapy LLC | Clinic/Center | 328 Uluniu St Ste 202, Kailua, HI 96734-2542 | 2019-03-16 |
| 1053896266 | Magellan Therapeutic Services, LLC | Clinic/Center | 94-1388 Moaniani St Ste 214, Waipahu, HI 96797-6604 | 2018-10-03 |
| 1740765031 | Kessler Services, LLC | Clinic/Center | 7 Aewa Pl Ste 7, Makawao, HI 96768-8882 | 2018-10-02 |
| 1649769019 | Hawaii Clinical Psychology, LLC | Clinic/Center | 1188 Bishop St Ste 3005, Honolulu, HI 96813-3312 | 2018-05-01 |
| 1558608406 | Angela K. Wai, M.d.inc | Clinic/Center | 99-115 Aiea Heights Dr Ste 207, Aiea, HI 96701-3974 | 2013-01-12 |
| 1942465455 | Heal Counseling Center, LLC | Clinic/Center | 5257 Kalanianaole Hwy, Honolulu, HI 96821-1840 | 2008-07-23 |
| 1578615514 | Big Island Substance Abuse Council | Clinic/Center | 297 Waianuenue Avenue, Hilo, HI 96720-2438 | 2007-01-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BIG ISLAND PSYCHIATRY LLC.
| 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.