DR. CHARLES HERMANN BOGDAHN (NPI# 1265770523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265770523 |
| Entity Type | Individual |
| Full Name | DR. CHARLES HERMANN BOGDAHN |
| Credential | PSY.D. |
| Practice Address |
88 Kanoelehua Ave Suite A-204 Hilo HI 96720-4670 |
| Mailing Address |
88 Kanoelehua Avenue Suite A-204 Hilo HI 96720 |
| Practice Telephone | 8086883376 |
| Mailing Telephone | 8086883376 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
#615 | HI | Behavioral Health & Social Service Providers |
| Street Address |
88 KANOELEHUA AVE SUITE A-204 |
| City | HILO |
| State | HI |
| Zip Code | 96720-4670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326296104 | Danielle E Maka'ike | Counselor | 88 Kanoelehua Ave, Hilo, HI 96720 | 2008-09-04 |
| 1932577418 | Geniel Amelia Hernandez Armstrong | Psychologist | 88 Kanoelehua Ave, Ste. A 204, Hilo, HI 96720-4670 | 2015-09-14 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689239667 | Taylor Stacy | Psychologist | 2444 Dole Street, Krauss Hall 101, Honolulu, HI 96822 | 2019-05-06 |
| 1801374244 | Michelle E. Morrell | Psychologist | 81-980 Halekii St Ste 101, Kealakekua, HI 96750-8177 | 2018-07-28 |
| 1184138943 | Roger S. Hamada, Ph.d., Inc. | Psychologist | 98-211 Pali Momi St Ste 810, Aiea, HI 96701-4377 | 2017-11-30 |
| 1992247704 | Janet Hanley | Psychologist | 250 Ohua Ave Apt 4e, Honolulu, HI 96815-3633 | 2016-11-10 |
| 1578813499 | Annie Chung | Psychologist | 4271 Pilimai St, Lihue, HI 96766-8814 | 2012-09-18 |
| 1033468392 | Jessica H. Kojima | Psychologist | 742 Hauoli St Apt C, Honolulu, HI 96826-3624 | 2012-09-02 |
| 1609041045 | Ohana Clinical Care, Inc. | Psychologist | 1770a Bettencourt Ln, Kapaa, HI 96746-9145 | 2008-04-28 |
| 1760765796 | Katlyn Hale | Psychologist | 81-1043 Konawaena School Rd, Kealakekua, HI 96750-8121 | 2011-09-26 |
| 1902030604 | Richard J Delaney | Psychologist | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750-8133 | 2009-05-08 |
| 1649414210 | Patricia Ann Harnish | Psychologist | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2009-04-27 |
| Find all providers with the same taxonomy | ||||
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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.