DR. KURT HUMPHREY (NPI# 1770756223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770756223 |
| Entity Type | Individual |
| Full Name | DR. KURT HUMPHREY |
| Credential | M.D. |
| Practice Address |
42-470 Kalanianaole Hwy Kailua HI 96734-4373 |
| Practice Telephone | 8082669931 |
| Practice Fax Number | 8082669933 |
| Mailing Telephone | 8082669931 |
| Mailing Fax Number | 8082669933 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2015-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
17089 | HI | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
17089 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
42-470 KALANIANAOLE HWY |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326659285 | Rachel Lauren Gibson | Counselor | 42-470 Kalanianaole Hwy, Kailua, HI 96734-4373 | 2020-08-13 |
| 1780218255 | Tyra Ihilani Dahlin | Counselor | 42-470 Kalanianaole Hwy, Kailua, HI 96734-4373 | 2020-02-24 |
| 1821628280 | Residential Youth Services & Empowerment | Community/Behavioral Health | 42-470 Kalanianaole Hwy, Kailua, HI 96734-4373 | 2020-01-23 |
| 1962973628 | Sarah Michelle Bonham | Social Worker | 42-470 Kalanianaole Hwy, Kailua, HI 96734-4373 | 2018-12-06 |
| 1437643186 | Ann Inouye | Student in an Organized Health Care Education/Training Program | 42-470 Kalanianaole Hwy, Kailua, HI 96734-4373 | 2018-06-17 |
| 1477061539 | Vanessa Catherine Bogert | Student in an Organized Health Care Education/Training Program | 42-470 Kalanianaole Hwy, Kailua, HI 96734-4373 | 2018-01-11 |
| 1104297084 | Nani Lehua O Nalani Jenson | Community Based Residential Treatment Facility, Mental Illness | 42-470 Kalanianaole Hwy, Kailua, HI 96734 | 2015-10-16 |
| 1811395866 | Brianna Dominique Beltran | Counselor | 42-470 Kalanianaole Hwy, Kailua, HI 96734-4373 | 2014-12-08 |
| 1578976882 | Dana Miller | Social Worker | 42-470 Kalanianaole Hwy, Kailua, HI 96734-4373 | 2014-06-04 |
| 1902218589 | Ashley Cabadas | Counselor | 42-470 Kalanianaole Hwy, Kailua, HI 96734-4373 | 2014-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205372745 | Darin Gould Md LLC | Psychiatry & Neurology | 970 N Kalaheo Ave, Kailua, HI 96734-1866 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205459492 | Outcomes Clinic LLC | Psychiatry & Neurology | 243 N Judd St Apt C, Honolulu, HI 96817-1747 | 2020-05-21 |
| 1932564861 | Kahala Clinic for Children & Family Inc | Psychiatry & Neurology | 4211 Waialae Ave Ste 207, Honolulu, HI 96816-5312 | 2015-12-18 |
| 1518294966 | Gordon Duff Jensen | Psychiatry & Neurology | 91-521a Hapalua St, Ewa Beach, HI 96706-2929 | 2009-11-05 |
| 1033383153 | Sara Marie Chiu | Psychiatry & Neurology | 88 Kanoelehua Ave Ste A204, Hilo, HI 96720-4670 | 2008-04-18 |
| 1982876371 | Alayne Yates | Psychiatry & Neurology | 242 Opihikao Way, Honolulu, HI 96825 | 2008-03-26 |
| 1831398148 | Josephine Pardenilla Horita | Psychiatry & Neurology | 4211 Waialae Ave Ste 208, Honolulu, HI 96816-5312 | 2007-07-16 |
| 1063617132 | Elodie Schaffer Imonen | Psychiatry & Neurology | 44-2944 Kalaniai Rd, Honokaa, HI 96727-6870 | 2007-06-19 |
| 1548488570 | Lili Kelly | Psychiatry & Neurology | 320 Ohua Ave, Ste 802, Honolulu, HI 96815-3670 | 2007-04-23 |
| 1750509253 | Chia Granda | Psychiatry & Neurology | 3-3204 Kuhio Hwy Ste 104, Lihue, HI 96766-1135 | 2007-04-23 |
| 1851456297 | Eberhard Martin Mann | Psychiatry & Neurology | 1650 Kanunu St Ph 1, Honolulu, HI 96814-2743 | 2006-12-26 |
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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.