DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION


Address: 65 Makaena St, Maui-fgc-molokai, Kaunakakai, HI 96748
Phone: 8085535067

DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION (NPI# 1184992158) 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) 1184992158
Entity Type Organization
Organization Name DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION
Practice Address 65 Makaena St
Maui-fgc-molokai
Kaunakakai
HI 96748
Mailing Address 3627 Kilauea Ave
Room 101-attn: Phao
Honolulu
HI 96816-2317
Practice Telephone 8085535067
Practice Fax Number 8085539859
Mailing Telephone 8087334198
Mailing Fax Number 8087338375
Enumeration Date 2011-12-06
Last Update Date 2011-12-06
Authorized Official Name DR. M. STANTON MICHELS (ADMINISTRATOR)
Authorized Official Telephone 8087339339
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932477999 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 4111 Hana Hwy, Maui-fgc-hana, Hana, HI 96713 2011-12-06
1255609202 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 555 Fraser Ave, Maui-fgc-lanai, Lanai City, HI 96763 2011-12-06
1942577739 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 54-010 Kukuna St, Oahu Central-fgc-hauula, Hauula, HI 96717-9628 2011-11-21
1235406208 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 3-3204 Kuhio Hwy, Room 104-kauai Fgc, Lihue, HI 96766-1135 2011-11-18
1700153772 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 601 Kamokila Blvd, Room 355-oahu Leeward Fgc, Kapolei, HI 96707-2023 2011-11-18
1871860841 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 1830 Honoapiilani Hwy, Maui-fgc-lahaina, Lahaina, HI 96761-1856 2011-11-18
1255600656 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 860 Fourth St, 2nd Floor-oahu Central Fgc, Pearl City, HI 96782-3312 2011-12-14
1164791562 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 45-691 Keaahala Rd, Oahu Central Fgc-kaneohe, Kaneohe, HI 96744-3569 2011-12-14
1437428836 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 3627 Kilauea Ave, Room 401-honolulu Fgc, Honolulu, HI 96816-2317 2011-12-14
1518234582 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 88 Kanoelehua Ave, Suite A-204: Hawaii Fgc-hilo, Hilo, HI 96720-4670 2011-11-18

Office Location

Street Address 65 MAKAENA ST
MAUI-FGC-MOLOKAI
City KAUNAKAKAI
State HI
Zip Code 96748

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194908087 State of Hawaii Department of Health Community/Behavioral Health 65 Makaena St, Suite 107, Kaunakakai, HI 96748 2007-12-13
1619150505 Community Mental Health Center Clubhouse-molokai Community/Behavioral Health 65 Makaena St, Kaunakakai, HI 96748 2007-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265056154 Molokai Physical Therapy & Rehabilitation LLC Clinic/Center 109 Ala Malama St Unit A, Kaunakakai, HI 96748 2020-06-05
1053953612 Natalie Luczon Massage Therapist 30 Oki Pl, Kaunakakai, HI 96748 2019-10-15
1346753712 Hawaii Life Flight, LLC Ambulance 317 Ilio Road, Kaunakakai, HI 96748 2017-11-08
1285008565 Dino Akai Nurse Practitioner 30 Oki Pl., Kaunakakai, HI 96748 2015-11-24
1730567181 Pakolea Rehab Residential Treatment Facility, Physical Disabilities 2 Kamoi St, Suite 300, Kaunakakai, HI 96748 2015-05-18
1366843740 Dean K Chow Chiropractor 101 Ala Malama St Ste 103, Kaunakakai, HI 96748 2014-09-04
1427491448 Genevieve F Correa Physical Therapist 93 Ala Malama Ave, Building B Unit A, Kaunakakai, HI 96748 2013-04-09
1679800882 Ka Hale Pomaika'i Community/Behavioral Health Hc-01 Box 372 Kamehameha V Hwy, Ualapu'e, HI 96748 2009-11-09
1811222854 Chris K Chow Dds Inc Dentist 15 Kaunakakai Pl, Suite 6, Kaunakakai, HI 96748 2009-10-08
1669605598 Hale Ho'okupa'a Community/Behavioral Health 450 Ala Malama Avenue, Kaunakakai, HI 96748 2009-08-26
Find all providers in zip 96748

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669605598 Hale Ho'okupa'a Community/Behavioral Health 450 Ala Malama Avenue, Kaunakakai, HI 96748 2009-08-26
1194908087 State of Hawaii Department of Health Community/Behavioral Health 65 Makaena St, Suite 107, Kaunakakai, HI 96748 2007-12-13
1619150505 Community Mental Health Center Clubhouse-molokai Community/Behavioral Health 65 Makaena St, Kaunakakai, HI 96748 2007-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710596655 Ho'ola Na Pua Community/Behavioral Health 58-130 Kamehameha Hwy, Haleiwa, HI 96712-9714 2020-07-27
1861000119 Myra H Shindo Community/Behavioral Health 134 Walker Ave, Wahiawa, HI 96786-1817 2020-07-22
1922616549 Child and Family Service Community/Behavioral Health 95-1091 Ainamakua Dr, Mililani, HI 96789-4252 2020-07-20
1114571973 House of Blessings Community/Behavioral Health 148 Lakeview Cir, Wahiawa, HI 96786-1531 2019-07-30
1558927194 Team Care Clinical Services, LLC Community/Behavioral Health 66-434 Kamehameha Hwy Ste B, Haleiwa, HI 96712 2019-05-17
1528523248 Pamela Matsuda Friar Lcsw, Inc. Community/Behavioral Health 25 Kaneohe Bay Dr Ste 204, Kailua, HI 96734-1734 2019-02-06
1649744921 Big Island Behavior Interventions Community/Behavioral Health 16-566 Keaau Pahoa Rd Ste 188-111, Keaau, HI 96749-8137 2019-01-19
1790251940 Anelalani K. M. Raposas Community/Behavioral Health 85-888 Farrington Hwy Ste 207, Waianae, HI 96792-2403 2018-10-15
1841794807 Ke Alaula, Inc. Community/Behavioral Health 101 Aupuni St Ste 213, Hilo, HI 96720-4221 2018-03-22
1154824407 Kipuka Counseling and Consulting, LLC Community/Behavioral Health 15-1463 Awa Ave, Keaau, HI 96749 2018-03-13
Find all providers with the same taxonomy

Competitor

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City KAUNAKAKAI
Zip Code 96748

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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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