MR. DAVID WILLIAM VICTORINO JR. (NPI# 1508215948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508215948 |
| Entity Type | Individual |
| Full Name | MR. DAVID WILLIAM VICTORINO JR. |
| Credential | CO SUBSTANCE ABUSE |
| Practice Address |
615 Piikoi St Honolulu HI 96814-3116 |
| Practice Telephone | 8085891829 |
| Practice Fax Number | 8085892610 |
| Mailing Telephone | 8085891829 |
| Mailing Fax Number | 8085892610 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | HI | Behavioral Health & Social Service Providers |
| Street Address |
615 PIIKOI ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310639 | Robin B Welch | Psychologist | 615 Piikoi St, Suite 1603, Honolulu, HI 96814-3116 | 2005-10-18 |
| 1770198921 | Bessie Mae Bethany Star Ertel | Behavior Technician | 615 Piikoi St, Honolulu, HI 96814-3116 | 2020-09-14 |
| 1306346994 | Allison Marie Brown | Counselor | 615 Piikoi St, Honolulu, HI 96814-3116 | 2018-02-20 |
| 1154849453 | Khongorzul Battsooj | Counselor | 615 Piikoi St, 203, Honolulu, HI 96814 | 2017-09-07 |
| 1083145684 | Susan Palazzo | Registered Nurse | 615 Piikoi St, Suite 1406, Honolulu, HI 96814-3116 | 2017-03-24 |
| 1376991778 | Arielle Badeaux | Peer Specialist | 615 Piikoi St, Honolulu, HI 96814-3116 | 2016-05-26 |
| 1003263237 | Lindsey King | Psychologist | 615 Piikoi St, Suite 1605, Honolulu, HI 96814-3116 | 2016-05-18 |
| 1295194140 | Ellen Swann Wright | Marriage & Family Therapist | 615 Piikoi St, Suite #203, Honolulu, HI 96814-3116 | 2016-02-21 |
| 1053784793 | Robyn Trivette | Counselor | 615 Piikoi St, Ste 203, Honolulu, HI 96814-3116 | 2015-11-03 |
| 1932575941 | Carson Tabiolo | Counselor | 615 Piikoi St, Suite 203, Honolulu, HI 96814-3116 | 2015-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164052767 | Miriam Gallardo Feliciano | Counselor | 639 Puuhale Rd, Honolulu, HI 96819-3303 | 2020-01-22 |
| 1548810898 | Raymond Black IIi | Counselor | 985 Dillingham Blvd Ste 100, Honolulu, HI 96817-5772 | 2019-09-18 |
| 1255980231 | Talia Rachel Schwartz | Counselor | 2444 Dole St, Krauss Hall 101, The University of Hawaii At Manoa, Honolulu, HI 96822 | 2019-09-11 |
| 1720640949 | Tesa Le Anne Tapuriah | Counselor | 1506 Piikoi St Apt 1104, Honolulu, HI 96822-6109 | 2019-07-08 |
| 1679132526 | Mana Therapeutics LLC | Counselor | 2835e Kolowalu St, Honolulu, HI 96822-1851 | 2019-06-12 |
| 1407311301 | Christopher Lynn Carter | Counselor | 1286 Kalani St Ste B204, Honolulu, HI 96817-4947 | 2019-02-05 |
| 1912356940 | Makana Richards | Counselor | 1655 Makaloa St Apt 916, Honolulu, HI 96814-3912 | 2016-06-09 |
| 1598136426 | Lisa Asano-beem | Counselor | 1224 Ala Kapuna St, Apt 109, Honolulu, HI 96819-4626 | 2015-10-19 |
| 1619348737 | Amanda Marie Vincent | Counselor | Sakamaki Hall C400, 2530 Dole St., University of Hawaii At Manoa Department of Psychology, Honolulu, HI 96822 | 2015-10-15 |
| 1467822700 | Priya Korathu-larson | Counselor | 2500 Dole St, 101 Krauss Hall, Honolulu, HI 96822-2349 | 2015-09-29 |
| Find all providers in HONOLULU | ||||
Please comment or provide details below to improve the information on MR. DAVID WILLIAM VICTORINO JR..
| 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.