CHILD DEVELOPMENT CENTER OF HAWAII, LLC


Address: 4211 Waialae Ave, Suite 507, Honolulu, HI 96816-5306
Phone: 8087374300

CHILD DEVELOPMENT CENTER OF HAWAII, LLC (NPI# 1275794315) 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) 1275794315
Entity Type Organization
Organization Name CHILD DEVELOPMENT CENTER OF HAWAII, LLC
Practice Address 4211 Waialae Ave
Suite 507
Honolulu
HI 96816-5306
Practice Telephone 8087374300
Practice Fax Number 8087374302
Mailing Telephone 8087374300
Mailing Fax Number 8087374302
Enumeration Date 2008-06-20
Last Update Date 2008-06-20
Authorized Official Name DR. COLIN BEVERIDGE DENNEY (DIRECTOR AND MANAGING MEMBER)
Authorized Official Telephone 8087374300
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
PSY 697 HI Behavioral Health & Social Service Providers

Office Location

Street Address 4211 WAIALAE AVE
SUITE 507
City HONOLULU
State HI
Zip Code 96816-5306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962457317 Sheri Sloggett Shanks Psychologist 4211 Waialae Ave, Suite 206a, Honolulu, HI 96816-5319 2006-05-24
1699301408 Elizabeth A Pavlik Nurse Practitioner 4211 Waialae Ave, Honolulu, HI 96816-5319 2020-03-13
1902366099 Grisel M Reyes-dennis Nurse Practitioner 4211 Waialae Ave, Honolulu, HI 96816-5319 2019-03-23
1891285664 Marchael T Andres Massage Therapist 4211 Waialae Ave, Honolulu, HI 96816-5319 2018-05-16
1134621352 Glenn Morikawa Pharmacist 4211 Waialae Ave, Honolulu, HI 96816-5319 2018-03-03
1710488606 Kenna Muramoto Pharmacist 4211 Waialae Ave, Honolulu, HI 96816-5319 2018-02-26
1972001337 Angelica Hong Pharmacist 4211 Waialae Ave, Honolulu, HI 96816-5319 2018-01-31
1750821278 Cassie Robinson Massage Therapist 4211 Waialae Ave, Honolulu, HI 96816-5319 2017-03-02
1417402082 Jamie Mizusawa Pharmacist 4211 Waialae Ave, Honolulu, HI 96816-5319 2016-08-24
1588012884 Nadalin Inc Massage Therapist 4211 Waialae Ave, Honolulu, HI 96816-5319 2016-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598370439 Marina Nogues Nurse Practitioner 3901b Maunahilu Pl, Honolulu, HI 96816 2020-09-08
1184272007 Gwen Mikasa Speech-Language Pathologist Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 2019-09-04
1467009290 Abigail Hobbs Occupational Therapist 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 2019-08-26
1588210587 Mona Ann Hiyoto Akina Speech-Language Pathologist 475 2nd Ave., Room 127, Honolulu, HI 96816 2019-08-15
1356996599 Karen Amanda Kama Speech-Language Pathologist Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 2019-08-05
1043864630 Brittni Holt Speech-Language Pathologist 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 2019-07-31
1376197962 Mallory Register Speech-Language Pathologist 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 2019-07-31
1588144935 Mihoko Yacavone Dietitian, Registered 833 15th Ave, Honolulu, HI 96816 2018-08-15
1760976013 Orthopaedic Specialists Hawaii LLC Orthopaedic Surgery 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 2018-06-20
1790207389 Richard Todd Robbins Jr. Behavior Technician 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 2017-07-14
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689239667 Taylor Stacy Psychologist 2444 Dole Street, Krauss Hall 101, Honolulu, HI 96822 2019-05-06
1992247704 Janet Hanley Psychologist 250 Ohua Ave Apt 4e, Honolulu, HI 96815-3633 2016-11-10
1033468392 Jessica H. Kojima Psychologist 742 Hauoli St Apt C, Honolulu, HI 96826-3624 2012-09-02
1710128129 Lesley Ann Slavin Psychologist 3627 Kilauea Ave, Room 405, Honolulu, HI 96816-2317 2009-03-13
1396775573 Evelyn Harumi Yanagida Psychologist 1833 Kalakaua Ave, Suite 800, Honolulu, HI 96815-1512 2006-07-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1578813499 Annie Chung Psychologist 4271 Pilimai St, Lihue, HI 96766-8814 2012-09-18
1609041045 Ohana Clinical Care, Inc. Psychologist 1770a Bettencourt Ln, Kapaa, HI 96746-9145 2008-04-28
1265770523 Charles Hermann Bogdahn Psychologist 88 Kanoelehua Ave, Suite A-204, Hilo, HI 96720-4670 2013-01-22
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
1548418601 Jenna Elaine Symons Psychologist 42-470 Kalanianaole Hwy, Kailua, HI 96734-4373 2008-09-03
1689727802 Rand R. Berkline Psychologist 970 N Kalaheo Ave, Suite A-218, Kailua, HI 96734-1801 2007-01-19
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Competitor

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City HONOLULU
Zip Code 96816

Improve Information

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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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