STATE OF HAWAII DEPARTMENT OF HEALTH (NPI# 1457534083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457534083 |
| Entity Type | Organization |
| Organization Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Other Organization Name | WAHIAWA COMMUNITY MENTAL HEALTH CENTER |
| Practice Address |
910 California Ave Wahiawa HI 96786-2124 |
| Mailing Address |
1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 |
| Practice Telephone | 8084535953 |
| Mailing Telephone | 8085907320 |
| Mailing Fax Number | 8085864745 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2014-06-18 |
| Authorized Official Name | RAQUEL B. NAKAHARA (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Telephone | 8085907320 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 53937211 | 05 |
| Other Name | Type Code |
|---|---|
| Wahiawa Community Mental Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770747131 | State of Hawaii Department of Health | Community/Behavioral Health | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-07-15 |
| 1194908087 | State of Hawaii Department of Health | Community/Behavioral Health | 65 Makaena St, Suite 107, Kaunakakai, HI 96748 | 2007-12-13 |
| 1942483839 | State of Hawaii Department of Health | Community/Behavioral Health | 730 Lanai Ave, Suite 6, Lanai City, HI 96763 | 2007-12-13 |
| 1174706063 | State of Hawaii Department of Health | Community/Behavioral Health | 219 B Kaaliki Road, Naalehu, HI 96772 | 2007-12-13 |
| 1679756563 | State of Hawaii Department of Health | Community/Behavioral Health | 54-010 Kukuna Road, Hauula, HI 96717 | 2007-12-13 |
| 1891978789 | State of Hawaii Department of Health | Community/Behavioral Health | 67-5189 Kamamalu St, Kamuela, HI 96743 | 2007-12-13 |
| 1346423233 | State of Hawaii Department of Health | Community/Behavioral Health | 3-3212 Kuhio Highway, Lihue, HI 96766 | 2007-12-13 |
| 1104009091 | State of Hawaii Department of Health | Community/Behavioral Health | 1830 Hooapiilani Highway, Lahaina, HI 96761 | 2007-12-13 |
| 1083897979 | State of Hawaii Department of Health | Community/Behavioral Health | 15-2866 Govt. Road Pahoa Town Center, Bldg. E, Pahoa, HI 96778 | 2007-12-13 |
| 1710263504 | State of Hawaii Department of Health | Community/Behavioral Health | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2011-10-25 |
| Street Address |
910 CALIFORNIA AVE |
| City | WAHIAWA |
| State | HI |
| Zip Code | 96786-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811037054 | Andy Miyamoto Jr. | Social Worker | 910 California Ave, Wahiawa, HI 96786-2124 | 2007-02-07 |
| 1871633008 | Mona H Iwatani | Social Worker | 910 California Ave, Wahiawa, HI 96786-2124 | 2007-02-07 |
| 1760520407 | Neal Ouchi | Social Worker | 910 California Ave, Wahiawa, HI 96786-2124 | 2007-02-02 |
| 1073651709 | Elizabeth Ramirez | Registered Nurse | 910 California Ave, Wahiawa, HI 96786-2124 | 2007-02-02 |
| 1972641603 | Myron Yamashiro | Social Worker | 910 California Ave, Wahiawa, HI 96786-2124 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801421870 | Macy Tiatti Coleman | Student in an Organized Health Care Education/Training Program | 683 Waianae Ave, Schofield Barracks, HI 96786 | 2020-03-10 |
| 1063078467 | Jacqueline Tommila | Registered Nurse | Wai'anae & Ayres Ave, Wahiawa, HI 96786 | 2019-05-13 |
| 1578126157 | Shantelle Caliboso Bautista | Registered Nurse | Wheeler Army Field, Wahiawa, HI 96786 | 2019-04-18 |
| 1679136246 | Dorinda A Ventura | Licensed Practical Nurse | 1 Wheeler Aaf Wahiawa, Hi 96786, Wahiawa, HI 96786 | 2019-04-18 |
| 1659853950 | Archnaben Patel | Physician Assistant | 3399 Glennan St, Wahiawa, HI 96786 | 2018-09-04 |
| 1245720564 | Zi Xiang Liu | Physician Assistant | 3399 Glennan Street, Schofield Barracks, HI 96786 | 2018-05-11 |
| 1417445503 | Kristine Wong | Occupational Therapist | 1034 Kilani Ave Ste 109, Wahiawa, HI 96786 | 2018-04-25 |
| 1467964528 | Hope Treatment Services | Counselor | 360 California Avenue, Wahiawa, HI 96786 | 2017-10-30 |
| 1881103919 | Testiny K J Mailo | Assistant Behavior Analyst | 1046 Eho Eho Avenue, #326, Wahiawa, HI 96786 | 2017-09-20 |
| 1982121059 | Salvador Mireles Thorn | Physician Assistant | U.S. Army Health Clinic Sb, Building 683, Schofield Barracks, HI 96786 | 2017-08-29 |
| Find all providers in zip 96786 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000119 | Myra H Shindo | Community/Behavioral Health | 134 Walker Ave, Wahiawa, HI 96786-1817 | 2020-07-22 |
| 1114571973 | House of Blessings | Community/Behavioral Health | 148 Lakeview Cir, Wahiawa, HI 96786-1531 | 2019-07-30 |
| 1922336791 | Life Connections, Inc. | Community/Behavioral Health | 108 Olokani Pl, 2nd Floor, Wahiawa, HI 96786-4812 | 2009-12-06 |
| 1114355328 | Triscele Services, Inc. | Community/Behavioral Health | 319 N Cane St, A, Wahiawa, HI 96786-2130 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596655 | Ho'ola Na Pua | Community/Behavioral Health | 58-130 Kamehameha Hwy, Haleiwa, HI 96712-9714 | 2020-07-27 |
| 1922616549 | Child and Family Service | Community/Behavioral Health | 95-1091 Ainamakua Dr, Mililani, HI 96789-4252 | 2020-07-20 |
| 1558927194 | Team Care Clinical Services, LLC | Community/Behavioral Health | 66-434 Kamehameha Hwy Ste B, Haleiwa, HI 96712 | 2019-05-17 |
| 1528523248 | Pamela Matsuda Friar Lcsw, Inc. | Community/Behavioral Health | 25 Kaneohe Bay Dr Ste 204, Kailua, HI 96734-1734 | 2019-02-06 |
| 1649744921 | Big Island Behavior Interventions | Community/Behavioral Health | 16-566 Keaau Pahoa Rd Ste 188-111, Keaau, HI 96749-8137 | 2019-01-19 |
| 1790251940 | Anelalani K. M. Raposas | Community/Behavioral Health | 85-888 Farrington Hwy Ste 207, Waianae, HI 96792-2403 | 2018-10-15 |
| 1841794807 | Ke Alaula, Inc. | Community/Behavioral Health | 101 Aupuni St Ste 213, Hilo, HI 96720-4221 | 2018-03-22 |
| 1154824407 | Kipuka Counseling and Consulting, LLC | Community/Behavioral Health | 15-1463 Awa Ave, Keaau, HI 96749 | 2018-03-13 |
| 1245731173 | Bayada Home Care | Community/Behavioral Health | 1001 Kamokila Blvd Ste 206, Kapolei, HI 96707-2096 | 2018-02-26 |
| 1275048803 | Marianne Jones, Lcsw | Community/Behavioral Health | 87-3180 Guava Rd, Captain Cook, HI 96704-8727 | 2017-12-05 |
| 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.