ROYAL RANDOLPH, JR., M.D., M.P.H., LLC (NPI# 1245286780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245286780 |
| Entity Type | Organization |
| Organization Name | ROYAL RANDOLPH, JR., M.D., M.P.H., LLC |
| Practice Address |
2200 Main St Suite 517 Wailuku HI 96793-1681 |
| Mailing Address |
Po Box 1441 Wailuku HI 96793-6441 |
| Practice Telephone | 8082449677 |
| Practice Fax Number | 8082449677 |
| Mailing Telephone | 8082449677 |
| Mailing Fax Number | 8082424805 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROYAL RANDOLPH JR. (OWNER/MEMBER) |
| Authorized Official Telephone | 8082449677 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD-4946 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HAWAII ELECTRICIANS HEALT | 192779 | 01 |
| HI | KAISER AFFILIATED CARE | A-48199 | 01 |
| HI | SUMMERLIN LIFE & HEALTH | 192779 | 01 |
| HI | HMA, INC HAWAII | 192779 | 01 |
| HI | HMSA | 1853-1 | 01 |
| HI | 017302-01 | 05 |
| Street Address |
2200 MAIN ST SUITE 517 |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164064754 | Karin M Rohr | Counselor | 2200 Main St, Wailuku, HI 96793-1681 | 2019-10-15 |
| 1740665488 | Bayada Home Care | Home Health | 2200 Main St, Suite 650, Wailuku, HI 96793-1681 | 2015-07-23 |
| 1508206988 | B.c.p., Inc. | Home Health | 2200 Main St, Suite 650, Wailuku, HI 96793-1681 | 2013-06-28 |
| 1942569702 | B. C. P., Inc. | Home Health | 2200 Main St, Suite 660, Wailuku, HI 96793-1681 | 2012-05-14 |
| 1356577415 | Thomas Tsung-ping Chen | Psychologist | 2200 Main St, Suite #519, Wailuku, HI 96793-1681 | 2009-06-03 |
| 1316144025 | Carol Geer Freitas | Counselor | 2200 Main St, Suite 518, Wailuku, HI 96793-1654 | 2007-06-27 |
| 1881725414 | Royal Randolph Jr. | Psychiatry & Neurology | 2200 Main St, Suite 517, Wailuku, HI 96793-1654 | 2007-03-07 |
| 1083775431 | Cheri Ann Ewing | Psychologist | 2200 Main St, Ste 524, Wailuku, HI 96793-1624 | 2006-12-12 |
| 1699871392 | Patricia J. Neal | Social Worker | 2200 Main St, #518, Wailuku, HI 96793-1654 | 2006-09-16 |
| 1801821178 | Howard Geoffrey Barbarosh | Internal Medicine | 2200 Main St, Suite 300, Wailuku, HI 96793-1654 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| 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 |
|---|---|---|---|---|
| 1215085576 | Douglas M Cooper | Psychiatry & Neurology | 121 Mahalani St., Wailuku, HI 96793 | 2007-01-05 |
| 1699852467 | Jon Betwee | Psychiatry & Neurology | 270 Waiehu Beach Rd, Suite215, Wailuku, HI 96793-1472 | 2006-11-01 |
| 1467494997 | Alfred M. Arensdorf | Psychiatry & Neurology | 33 Keoneloa St, Wailuku, HI 96793-2445 | 2006-06-11 |
| 1841588050 | Sarah R Feenstra | Psychiatry & Neurology | 1881 Nani St, Wailuku, HI 96793-1811 | 2011-07-21 |
| 1447461256 | Amber Lea Rohner Sakuda | Psychiatry & Neurology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-05-24 |
| 1699827071 | Jon Betwee M D Ltd | Psychiatry & Neurology | 270 Waiehu Beach Rd, Suite 215, Wailuku, HI 96793-1472 | 2007-01-17 |
| 1518026467 | Kathleen Fanshaw Iannitello | Psychiatry & Neurology | 121 Mahalani St, Wailuku, HI 96793-2528 | 2006-12-06 |
| 1124193578 | Bettina Wong Haerer | Psychiatry & Neurology | 1787 Wili Pa Loop Ste 7, Wailuku, HI 96793-1271 | 2006-11-21 |
| 1568534097 | John F Balog | Psychiatry & Neurology | 121 Mahalani St, Wailuku, HI 96793-2528 | 2006-11-13 |
| 1629148713 | Jason M Andrus | Psychiatry & Neurology | 221 Mahalani Street, Wailuku, HI 96793-2526 | 2006-11-08 |
| Find all providers in WAILUKU | ||||
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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.