COMMUNITY MENTAL HEALTH CENTER CLUBHOUSE-FRIENDSHIP HOUSE (NPI# 1538342423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538342423 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MENTAL HEALTH CENTER CLUBHOUSE-FRIENDSHIP HOUSE |
| Practice Address |
4-1751 Kuhio Highway Kapaa HI 96746 |
| Mailing Address |
1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 |
| Practice Telephone | 8088214480 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |
| Authorized Official Name | RAQUEL B. NAKAHARA (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Telephone | 8085868276 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 53937202 | 05 |
| Street Address |
4-1751 KUHIO HIGHWAY |
| City | KAPAA |
| State | HI |
| Zip Code | 96746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269965 | Joshua Ley | Physical Therapist | 5633 Kawaihau Road, Bldg 2a-12, Kapaa, HI 96746 | 2020-09-11 |
| 1740833896 | Aida Rivada Mendoza | Community Health Worker | Kapaa Waiver Program Service Center, 4800 Kawaihau Road #f, Kapaa, HI 96746 | 2019-07-18 |
| 1154892511 | Katherine O'donnell | Physical Therapist | 5633 Kawaihu Road, Bldg 2a-12, Kapaa, HI 96746 | 2018-12-11 |
| 1447734371 | Mehrnaz Motazedian | Behavioral Analyst | 5519 Kula Mauu, Kapaa, HI 96746 | 2018-09-17 |
| 1942713011 | Briana Marie Uribe | Behavioral Analyst | 3-312 Kuhio Hwy, Lihue, HI 96746 | 2017-11-13 |
| 1639692361 | Garden Isle Caregivers | Foster Care Agency | 5362 Olopua St, Kapaa, HI 96746 | 2017-07-25 |
| 1598122723 | Catherine Clement | Counselor | 1435 Kuhio Hwy. Suite 206, Kapaa, HI 96746 | 2016-01-19 |
| 1598120735 | Makana Mardonada | Social Worker | 5839 Waipouli Rd, Kapaa, HI 96746 | 2015-12-15 |
| 1740526938 | Kauai In-home Therapy LLC | Clinic/Center | 2-2514 Kaumualii Highway Ste. 205, Kalaheo, HI 96746 | 2012-12-17 |
| 1972877058 | Carole L. Duby | Massage Therapist | 365 Papaloa Rd, Kapa'a, HI 96746 | 2012-03-07 |
| Find all providers in zip 96746 | ||||
| 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 |
|---|---|---|---|---|
| 1871861518 | Rebekah Reid Clinic | Community/Behavioral Health | 4-1038 Kuhio Hwy, Kapaa, HI 96746-1625 | 2011-12-08 |
| 1366758070 | Tiffany Niide Md, LLC | Community/Behavioral Health | 4-1558 Kuhio Hwy, Kapaa, HI 96746-1856 | 2010-08-19 |
| 1336335462 | Tanya Gamby, Ph.d. Inc | Community/Behavioral Health | 4-1558 Kuhio Hwy, Kapaa, HI 96746-1856 | 2007-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596655 | Ho'ola Na Pua | Community/Behavioral Health | 58-130 Kamehameha Hwy, Haleiwa, HI 96712-9714 | 2020-07-27 |
| 1861000119 | Myra H Shindo | Community/Behavioral Health | 134 Walker Ave, Wahiawa, HI 96786-1817 | 2020-07-22 |
| 1922616549 | Child and Family Service | Community/Behavioral Health | 95-1091 Ainamakua Dr, Mililani, HI 96789-4252 | 2020-07-20 |
| 1114571973 | House of Blessings | Community/Behavioral Health | 148 Lakeview Cir, Wahiawa, HI 96786-1531 | 2019-07-30 |
| 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 |
| 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.