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


Address: 601 Kamokila Blvd, Room 355-oahu Leeward Fgc, Kapolei, HI 96707-2023
Phone: 8086927700

DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION (NPI# 1700153772) 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) 1700153772
Entity Type Organization
Organization Name DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION
Practice Address 601 Kamokila Blvd
Room 355-oahu Leeward Fgc
Kapolei
HI 96707-2023
Mailing Address 3627 Kilauea Ave
Room 101-attn: Phao
Honolulu
HI 96816-2317
Practice Telephone 8086927700
Practice Fax Number 8086927712
Mailing Telephone 8087334198
Mailing Fax Number 8087338375
Enumeration Date 2011-11-18
Last Update Date 2011-11-18
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
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
1437428836 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 3627 Kilauea Ave, Room 401-honolulu Fgc, Honolulu, HI 96816-2317 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 601 KAMOKILA BLVD
ROOM 355-OAHU LEEWARD FGC
City KAPOLEI
State HI
Zip Code 96707-2023

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255685277 Dept. of Health-hawaii-developmental Disabilities Division Cmu3 Clinic/Center 601 Kamokila Blvd, Room 300 Ddd-cmu3, Kapolei, HI 96707-2023 2012-10-29
1336493352 Dept. of Health-hawaii-developmental Disabilities Division Cmu2 Clinic/Center 601 Kamokila Blvd, Room 300 Ddd-cmu2, Kapolei, HI 96707-2023 2012-10-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740840578 Brittany Feiteira Community Health Worker Napuakea Waiver Program Service Center, 92-461 Makakilo Drive, Kapolei, HI 96707 2019-06-14
1023537297 Virgil Tanizaki Acupuncturist 2176 Lauwiliwili St Unit 1 Office 12, Kapolei, HI 96707 2017-09-19
1902355886 Lorelei Bandola Specialist/Technologist 91-1180 Midway Rd, Kapolei, HI 96707 2016-10-03
1063867794 Denna Macanas Massage Therapist 599 Farrington Hwy., Ste.#102, Kapolei, HI 96707 2016-05-02
1962888065 Harumi Redden Massage Therapist 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707 2015-07-31
1851783351 Leigh Oyler Physical Therapist 91-1027 Shangrila Street, Bldg 1867, Kapolei, HI 96707 2015-02-21
1326440207 Hsiao-ling Shen Hoshino Dentist 590 Farrington Hwy Unit 523, Kapolei, HI 96707 2014-09-22
1992131387 Kaiser Foundation Health Plan, Inc. Pharmacy Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 2013-09-18
1083959993 Foodland Super Market Limited Pharmacy 4850 Kapolei Parkway, Kapolei, HI 96707 2012-12-04
1407108095 Kristen Pagulayan Social Worker 92-7038 Elele St, Kapolei, HI 96707 2012-10-08
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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
1245731173 Bayada Home Care Community/Behavioral Health 1001 Kamokila Blvd Ste 206, Kapolei, HI 96707-2096 2018-02-26
1528592797 Dm Wellness LLC Community/Behavioral Health 590 Farrington Hwy Suite #524-453, Kapolei, HI 96792-2009 2017-04-14
1457896193 Make A Difference Counseling Services Community/Behavioral Health 840 Kakala St Apt 301, Kapolei, HI 96707-4608 2017-01-05
1740633114 Imi Ola Autism Services Community/Behavioral Health 590 Farrington Hwy, #524-225, Kapolei, HI 96707-2009 2016-07-20
1427455997 Family Tree Project, LLP Community/Behavioral Health 1001 Kamokila Blvd Ste 133, Kapolei, HI 96707-2097 2014-11-29
1629472212 808 Ohana First Community/Behavioral Health 92-523 Waokele St, Kapolei, HI 96707-3401 2014-10-10
1922427590 Breaking Boundaries Recovery Services, Inc. Community/Behavioral Health 338 Kamokila Blvd, Suite 206, Kapolei, HI 96707-2055 2014-04-10

Providers in the same taxonomy and state

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
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Competitor

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City KAPOLEI
Zip Code 96707

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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