EYDIEDARNELL MCNICOLL (NPI# 1780834507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780834507 |
| Entity Type | Individual |
| Full Name | EYDIEDARNELL MCNICOLL |
| Practice Address |
615 Piikoi St Suite 203 Honolulu HI 96814-3116 |
| Practice Telephone | 8085891829 |
| Practice Fax Number | 8085892610 |
| Mailing Telephone | 8085891829 |
| Mailing Fax Number | 8085892610 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2014-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
615 PIIKOI ST SUITE 203 |
| 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 |
| 1508215948 | David William Victorino Jr. | Counselor | 615 Piikoi St, Honolulu, HI 96814-3116 | 2016-06-07 |
| 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 |
| 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 | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509589 | Michael David Macias | Psychologist | 2636 Maunawai Pl Apt 302, Honolulu, HI 96826-4827 | 2019-07-09 |
| 1275814188 | Denise Marques | Psychologist | 1401 S Beretania St Ste 450, Honolulu, HI 96814 | 2011-09-06 |
| 1023153889 | Rebecca Marie Beardsley | Psychologist | 1833 Kalakaua Ave Ste 908, Honolulu, HI 96815-1528 | 2007-02-20 |
| 1144320847 | Evelyne Raposo | Psychologist | 569 Hao St, Honolulu, HI 96821-1645 | 2006-09-22 |
| 1730741471 | Season N Uperesa | Psychologist | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2019-07-02 |
| 1245758606 | Genia Michelle Stith | Psychologist | 875 Waimanu St Ste 612, Honolulu, HI 96813-5267 | 2017-09-06 |
| 1902275084 | Tara Lyn Whitford | Psychologist | 615 Piikoi St Ste 203, Honolulu, HI 96814-3139 | 2015-09-18 |
| 1326347261 | Barry Sukoneck | Psychologist | 1088 Bishop St, Suite 2306, Honolulu, HI 96813-3141 | 2011-03-17 |
| 1548596661 | Shiloh E Jordan | Psychologist | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2009-10-23 |
| 1427281146 | Clarissa Fernandes | Psychologist | 615 Piikoi St, Suite 203, Honolulu, HI 96814-3116 | 2009-08-27 |
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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.