MR. DEWAYNE BETTAG


Address: 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909
Phone: 8086813500

MR. DEWAYNE BETTAG (NPI# 1346697117) 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) 1346697117
Entity Type Individual
Full Name MR. DEWAYNE BETTAG
Practice Address 91-1841 Fort Weaver Rd
Ewa Beach
HI 96706-1909
Practice Telephone 8086813500
Enumeration Date 2016-05-20
Last Update Date 2016-05-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
Behavioral Health & Social Service Providers
N 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Office Location

Street Address 91-1841 FORT WEAVER RD
City EWA BEACH
State HI
Zip Code 96706-1909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801937156 Kai Patrick Mcbride Counselor 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2007-02-09
1295347524 Garret K. Takahashi Student in an Organized Health Care Education/Training Program 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2020-08-18
1295346278 Ketsy Karen Anderson Behavior Technician 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2020-08-12
1568084994 Melissa Harper-osai Case Manager/Care Coordinator 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2020-05-07
1043830581 Keith Hiromi Takeshita Behavior Technician 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2020-04-24
1669091757 Trudy O'brien Behavior Technician 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2020-04-09
1639705411 Julia Char Behavior Technician 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2020-03-12
1851926646 Suzanne Torres Behavior Technician 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2020-03-11
1285269134 Aneterica Pola Behavior Technician 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2020-03-10
1144853839 Mila Ramos Behavior Technician 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2020-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922625516 Alison Tolentino Technician 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 2020-06-29
1851915722 Sheree Cole Wilson Social Worker 6851 B 112th Street, Ewa Beach, HI 96706 2020-06-05
1811547144 Madelyn Valenzuela Technician 91-1007 Napoona St., Ewa Beach, HI 96706 2019-09-18
1932761673 Kina'ole Case Management Agency LLC Case Management 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 2019-07-02
1952875049 Vegafit Elite Fitness and Training Family Medicine 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 2019-01-11
1912470345 Kristen Eiko Kane Speech-Language Pathologist 91-1561 Keaunui Dr, Ewa Beach, HI 96706 2019-01-08
1871069849 Desiree Tricarico Nurse Practitioner 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 2018-10-17
1598251894 Ewa Beach Dentists LLC Clinic/Center 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 2018-07-10
1427586833 Alison Mcdonald Cameron Marriage & Family Therapist 6186a Ibis Ave, Ewa Beach, HI 96706 2017-05-30
1629528567 Cindy Ann Holden Contractor 91755 B Fort Weaver Road, Ewa Beach, HI 96706 2016-10-04
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013392364 Lauren Elaine Ampolos Psychologist 415 Dairy Rd Ste E-323, Kahului, HI 96732-2348 2015-07-28
1487086609 Amanda Popovich Psychologist 545 Iaukea St, Honolulu, HI 96813-1428 2013-07-31
1306153168 Cesar David Rueda Psychologist 500 Ala Moana Blvd Ste 7-400, Honolulu, HI 96813-4902 2010-08-31
1326363961 Abe Bunji Tokioka Psychologist 1147 Waianiani Pl, Honolulu, HI 96821-1223 2010-04-06
1700033461 Beverly Salas Psychologist 47a Pilipu Pl, Kailua, HI 96734-2120 2008-08-25
1376703629 Yuri Hasegawa Lee Psychologist 1009 Kapiolani Blvd Apt 2607, Honolulu, HI 96814-2168 2008-06-11
1720125032 Alaka'i Na Keiki, Inc. Psychologist 1100 Alakea St, Unit 9, Honolulu, HI 96813-2833 2007-01-30
1043365448 Richard J Kravetz Psychologist 122 Hoahana Pl, Honolulu, HI 96825-3520 2007-01-24
1215005673 Nada Rose Mangialetti Psychologist 91-110 Hanua St, #208a, Kapolei, HI 96707-1705 2006-12-01
1134177785 Lisa Kaneshiro Psychologist 15-2866 Pahoa Villiage Road, Pahoa, HI 96778 2006-05-05
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Competitor

Search similar providers

City EWA BEACH
Zip Code 96706

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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