SARA HAACK (NPI# 1164798203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164798203 |
| Entity Type | Individual |
| Full Name | SARA HAACK |
| Practice Address |
1301 Punchbowl St Honolulu HI 96813-2402 |
| Mailing Address |
1356 Lusitana St Fl 4 Honolulu HI 96813-2409 |
| Practice Telephone | 8085867435 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD-19417 | HI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD60485827 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1164798203 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4225 Roosevelt Way Ne, Seattle, WA 981056099 | 2065987792 |
| Street Address |
1301 PUNCHBOWL ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184612764 | The Queen's Medical Center | Psychiatric Unit | 1301 Punchbowl St, Honolulu, HI 96813 | 2005-10-07 |
| 1104426774 | Dana Monday | Registered Nurse | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-10-31 |
| 1104438654 | Jennifer Nguyen Lam | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-08-17 |
| 1497371470 | Maria Pimenova | Pathology | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-06-24 |
| 1972125235 | Scott Shokichi Amuro | Respiratory Therapist, Registered | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-05-09 |
| 1407485196 | Marvik Vasquez Fernandez | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-04-04 |
| 1851927198 | Tundra Nicole Weaver | Nurse Practitioner | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-03-18 |
| 1407487671 | Ashley Nicole Aquino Catapang | Physician Assistant | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2020-01-28 |
| 1750929253 | Cheryl Ann Afuso-sumimoto | Clinical Nurse Specialist | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2019-12-15 |
| 1770126658 | Ann Frost | Physical Therapist | 1301 Punchbowl St, Honolulu, HI 96813-2499 | 2019-10-23 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619729 | Chad Imanaka | Psychiatry & Neurology | Psychiatry Residency Program, 1356 Lusitana Street, 4th Floor, Honolulu, HI 96813-1030 | 2018-05-18 |
| 1639551294 | William Portman | Psychiatry & Neurology | 604 Koko Isle Cir, Honolulu, HI 96825-1815 | 2015-06-19 |
| 1184060790 | Alexandra G. Takayesu | Psychiatry & Neurology | 1401 S Beretania St Ste 920, Honolulu, HI 96814 | 2013-05-22 |
| 1366784761 | Richard S. Chung | Psychiatry & Neurology | 7724 Kalohelani Pl, Honolulu, HI 96825-2818 | 2013-03-23 |
| 1588900674 | Kwong Yen Lum | Psychiatry & Neurology | 1350 Ala Moana Blvd Ph 4, Honolulu, HI 96814-4229 | 2012-12-18 |
| 1700156627 | Caitlin Engelhard | Psychiatry & Neurology | University of Hawaii, Department of Psychiatry, 1356 Lusitana Street, 4th Floor, Honolulu, HI 96813 | 2012-01-09 |
| 1710286489 | Jaime Stevens | Psychiatry & Neurology | 770 Punahou St, Honolulu, HI 96826-3660 | 2011-03-21 |
| 1346540705 | Gretchenjan Cube Gavero | Psychiatry & Neurology | 1356 Lusitania St, 4th Floor, Honolulu, HI 96813-2409 | 2010-11-01 |
| 1750519336 | Robert A. Hyman, M.d., LLC | Psychiatry & Neurology | 1188 Bishop St Ste 1133, Honolulu, HI 96813-3301 | 2009-06-23 |
| 1497989149 | Thomas Lanno Cook Iv | Psychiatry & Neurology | 1110 University Ave Ste 302, Honolulu, HI 96826-1544 | 2009-05-11 |
| Find all providers in HONOLULU | ||||
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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.