NORTH SHORE MENTAL HEALTH, INC. (NPI# 1629105598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629105598 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE MENTAL HEALTH, INC. |
| Practice Address |
56-119 Pualalea St Kahuku HI 96731-2052 |
| Practice Telephone | 8086388700 |
| Mailing Telephone | 8086388700 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAN KEHOE (DIRECTOR) |
| Authorized Official Telephone | 8086388700 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | W20544464-01 | HI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851716997 | North Shore Mental Health, Inc. | Case Management | 99-128 Aiea Heights Dr, Aiea, HI 96701-3925 | 2014-02-26 |
| 1922390442 | North Shore Mental Health, Inc. | Case Management | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2011-05-03 |
| Street Address |
56-119 PUALALEA ST |
| City | KAHUKU |
| State | HI |
| Zip Code | 96731-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669429239 | North Shore Pharmacy | Pharmacy | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2006-05-28 |
| 1083259782 | Haunani Annie Louis | Nurse Practitioner | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2019-11-17 |
| 1023462090 | Vincent Giani | Family Medicine | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2016-04-15 |
| 1144683012 | Tara Reed | Internal Medicine | 56-119 Pualalea St, Kahuku, HI 96731 | 2016-03-30 |
| 1124486568 | Marcus Steven Angulo | Nurse Practitioner | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2016-01-30 |
| 1013309269 | Helen P Hudson | Counselor | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2015-02-25 |
| 1265775415 | Jude D Sells | Family Medicine | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2013-04-05 |
| 1275884215 | Kylie L Wall | Dietitian, Registered | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2012-10-01 |
| 1003176652 | Janee Namealoha Sells | Family Medicine | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2012-05-16 |
| 1275820201 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St, Kahuku, HI 96731-2052 | 2011-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149405 | Teniiti Taie Burennatu | Counselor | 55-660 Kamehameha Hwy, Kahuku, HI 96731 | 2020-06-23 |
| 1568909109 | Maia Miller | Specialist/Technologist | 46-590 Kamehameha Hwy, Kahuku High School, Kahuku, HI 96731 | 2017-01-20 |
| 1063766079 | Ko'olauloa Health Center | Clinic/Center | 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 | 2012-10-30 |
| 1295097830 | Kerry Saitia Moea'i | Social Worker | 56-395 Huehu St., Kahuku, HI 96731 | 2012-06-11 |
| 1114194073 | Jason Hughes | Internal Medicine | 56-117 Pualalea Street, Kahuku, HI 96731 | 2008-05-09 |
| 1942341318 | Kaiser Foundation Health Plan Inc | Pharmacy | 56 700 Kamehameha Highway, Kahuku, HI 96731 | 2007-02-09 |
| 1659438281 | Carol Francine Green | Social Worker | 56 565 Kamehameha Hwy, Kahuku, HI 96731 | 2007-01-02 |
| 1578508602 | Douglas A Sutherland | Pediatrics | 56 119 Pualalea St, Kahuku, HI 96731 | 2006-06-20 |
| 1528026952 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St., Kahuku, HI 96731 | 2006-05-03 |
| 1336438126 | Marie Veronica Yagin | Registered Nurse | 56-660 Kamehameha Hwy, Kahuku, HI 96731 | 2011-04-01 |
| Find all providers in zip 96731 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871918755 | North Shore Mental Health, Inc | Case Management | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2014-02-28 |
| 1922390442 | North Shore Mental Health, Inc. | Case Management | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014565 | Case Management Solutions, LLC. | Case Management | 94-216 Farrington Hwy Ste B2-302, Waipahu, HI 96797-1922 | 2020-05-15 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1154807022 | Aloha Pono Case Management LLC | Case Management | 2121 Ala Wai Blvd Apt 1001, Honolulu, HI 96815-2204 | 2018-07-13 |
| 1982100806 | Sagely Inc | Case Management | 1585 Kapiolani Blvd Ste 1800, Honolulu, HI 96814-4500 | 2018-03-30 |
| 1013446152 | Haven Case Management | Case Management | 3418 Likini St, Honolulu, HI 96818-2103 | 2017-06-11 |
| 1033652029 | Max Dosland I | Case Management | 305 Door of Faith Rd, Haiku, HI 96708-5705 | 2016-11-23 |
| 1811361058 | Hawaii Case Management | Case Management | 1300 Honua St, Hilo, HI 96720-3207 | 2015-11-27 |
| 1215300520 | Hope Services Hawaii, Inc | Case Management | 296 Kilauea Ave, Hilo, HI 96720-2948 | 2015-11-09 |
| 1215328208 | Mana'olana Recovery Services LLC | Case Management | 4218 Bougainville Ave Apt D, Kapolei, HI 96707-2142 | 2015-02-11 |
| 1821400284 | Care Hawaii, Inc. | Case Management | 79-7446a Hawaii Belt Rd, Kealakekua, HI 96750-0746 | 2014-05-20 |
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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.