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).
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 |
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 |
Street Address |
91-1841 FORT WEAVER RD |
City | EWA BEACH |
State | HI |
Zip Code | 96706-1909 |
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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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 |
Find all providers in zip 96706 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
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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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.