DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION


Address: 3627 Kilauea Ave, Room 401-honolulu Fgc, Honolulu, HI 96816-2317
Phone: 8087339393

DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION (NPI# 1437428836) 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) 1437428836
Entity Type Organization
Organization Name DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION
Practice Address 3627 Kilauea Ave
Room 401-honolulu Fgc
Honolulu
HI 96816-2317
Mailing Address 3627 Kilauea Ave
Room 101-attn: Phao
Honolulu
HI 96816-2317
Practice Telephone 8087339393
Practice Fax Number 8087339377
Mailing Telephone 8087334198
Mailing Fax Number 8087338375
Enumeration Date 2011-12-14
Last Update Date 2011-12-14
Authorized Official Name DR. M. STANTON MICHELS (ADMINISTRATOR)
Authorized Official Telephone 8087339339
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932477999 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 4111 Hana Hwy, Maui-fgc-hana, Hana, HI 96713 2011-12-06
1255609202 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 555 Fraser Ave, Maui-fgc-lanai, Lanai City, HI 96763 2011-12-06
1942577739 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 54-010 Kukuna St, Oahu Central-fgc-hauula, Hauula, HI 96717-9628 2011-11-21
1235406208 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 3-3204 Kuhio Hwy, Room 104-kauai Fgc, Lihue, HI 96766-1135 2011-11-18
1700153772 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 601 Kamokila Blvd, Room 355-oahu Leeward Fgc, Kapolei, HI 96707-2023 2011-11-18
1871860841 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 1830 Honoapiilani Hwy, Maui-fgc-lahaina, Lahaina, HI 96761-1856 2011-11-18
1255600656 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 860 Fourth St, 2nd Floor-oahu Central Fgc, Pearl City, HI 96782-3312 2011-12-14
1164791562 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 45-691 Keaahala Rd, Oahu Central Fgc-kaneohe, Kaneohe, HI 96744-3569 2011-12-14
1184992158 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 65 Makaena St, Maui-fgc-molokai, Kaunakakai, HI 96748 2011-12-06
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

Office Location

Street Address 3627 KILAUEA AVE
ROOM 401-HONOLULU FGC
City HONOLULU
State HI
Zip Code 96816-2317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164481206 Martin Stewart Hirsch Psychiatry & Neurology 3627 Kilauea Ave, #401, Honolulu, HI 96816-2317 2006-03-18
1811408115 Natalia Lukey Community/Behavioral Health 3627 Kilauea Ave, Honolulu, HI 96816-2317 2017-10-13
1194240549 Elizabeth Everett Counselor 3627 Kilauea Ave, Honolulu, HI 96816-2317 2017-08-07
1205369634 Jessica Priscilla Makanani Hodson Social Worker 3627 Kilauea Ave, Honolulu, HI 96816-2317 2017-04-03
1497173181 Kimberly Allen Social Worker 3627 Kilauea Ave, Room 101, Honolulu, HI 96816-2317 2014-03-31
1023446903 Carly Hinman Social Worker 3627 Kilauea Ave, Honolulu, HI 96816 2013-10-31
1609216266 Kimberly Mizo Psychologist 3627 Kilauea Ave, Honolulu, HI 96816-2317 2013-06-27
1992045611 Pamela Donna Buchanan Counselor 3627 Kilauea Ave, Honolulu, HI 96816-2317 2013-02-15
1306190301 Dept. of Health-hawaii-developmental Disabilities Division Cmu1 Clinic/Center 3627 Kilauea Ave, Room 411 Ddd-cmu 1, Honolulu, HI 96816-2317 2012-10-30
1740532860 Dana L Abdinoor Social Worker 3627 Kilauea Ave, Room # 101, Honolulu, HI 96816-2317 2012-10-12
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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 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104376482 Integrative Therapy Services Community/Behavioral Health 3388 Salt Lake Blvd, 207, Honolulu, HI 96818-2120 2016-10-10
1619325396 Family Programs Hawaii Community/Behavioral Health 250 Vineyard St, Honolulu, HI 96813-2445 2016-06-02
1457729667 Jennifer Quinn-hastings LLC Community/Behavioral Health 3480 Waialae Ave, Suite 2, Honolulu, HI 96816-2657 2015-09-03
1942689526 Bayada Home Care Community/Behavioral Health 4510 Salt Lake Blvd Ste B6&d8, Honolulu, HI 96818-3153 2015-05-28
1245628338 Counseling Services LLC Community/Behavioral Health 1314 S King St Ste 603, Honolulu, HI 96814-1941 2014-12-26
1598161671 Positive Behavioral Interventions Community/Behavioral Health 614 Cooke St Ste 205, Honolulu, HI 96813-5251 2014-11-17
1295138311 New Hope Counseling Center Community/Behavioral Health 401 Kamakee St Ste 305, Honolulu, HI 96814-4243 2014-10-02
1386069763 Gateway Educational Services Community/Behavioral Health 1803 N King St, Honolulu, HI 96819-3451 2014-02-21
1619307592 Janice Y.w. Chang, Psy.d. Inc. Community/Behavioral Health 1126 12th Ave Ste 201, Honolulu, HI 96816-3715 2013-11-14
1073867867 Island Integrated Health LLC Community/Behavioral Health 1600 Kapiolani Blvd Ste 1311, Honolulu, HI 96814-3876 2012-11-01
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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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