DR. KELLY C HARNICK (NPI# 1851544704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851544704 |
| Entity Type | Individual |
| Full Name | DR. KELLY C HARNICK |
| Credential | PSYD., ABPP |
| Practice Address |
727 Wainee St Suite 201 Lahaina HI 96761-1589 |
| Practice Telephone | 8082804192 |
| Mailing Telephone | 8082804192 |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2014-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY1072 | HI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HI LICENSE | PSY1072 | 01 |
| Street Address |
727 WAINEE ST SUITE 201 |
| City | LAHAINA |
| State | HI |
| Zip Code | 96761-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134563570 | Maui Counseling Centers Inc. | Psychologist | 727 Wainee St, Suite 201, Lahaina, HI 96761-1589 | 2013-04-27 |
| 1144664582 | Eliot Benjamin Altschul | Psychologist | 727 Wainee St, Suite 201, Lahaina, HI 96761-1589 | 2013-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366901472 | Bridgette Grant Lcsw LLC | Clinic/Center | 4435 Lower Honoapiillani Rd, 142, Lahaina, HI 96761 | 2019-03-18 |
| 1366821803 | Stephen Barba | Student in an Organized Health Care Education/Training Program | 154 Papalaua Street, Suite #200, Lahaina, HI 96761 | 2015-05-28 |
| 1538546866 | Christine Marie Mora | Specialist | 12 Alamoana St #a, Lahaina, HI 96761 | 2015-05-06 |
| 1982009502 | Chelsea J North | Massage Therapist | 181 Lahainaluna Road, Suite D, Lahaina, HI 96761 | 2014-10-24 |
| 1427495860 | Chandy-ann Leinaala Lopes | Naturopath | 180 Dickenson St Ste 218, Lahaina, HI 96761 | 2013-05-24 |
| 1245554138 | David Wing Lee | Podiatrist | 40 Kupuohi St Ste 204, Lahaina, HI 96761 | 2010-03-21 |
| 1871736298 | Joal Breece Dennis Sr. | Marriage & Family Therapist | 980 Front St., Lahaina, HI 96761 | 2009-04-15 |
| 1053564526 | Community Clinic of Maui Inc | Clinic/Center | 15 Ipu Aumakua Ln, Lahaina, HI 96761 | 2008-10-28 |
| 1104009091 | State of Hawaii Department of Health | Community/Behavioral Health | 1830 Hooapiilani Highway, Lahaina, HI 96761 | 2007-12-13 |
| 1659412021 | Jacoby Inc. | Acupuncturist | 930 Wainee Street, Suite 10, Lahaina, HI 96761 | 2007-02-09 |
| Find all providers in zip 96761 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497724090 | Steven Edward Geller | Psychologist | 181 Lahainaluna Rd, Suite K, Lahaina, HI 96761-1585 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319008 | Rachel Huxel | Psychologist | 1821 Keeaumoku St Apt 201, Honolulu, HI 96822-3005 | 2020-09-04 |
| 1386256626 | Gabriela Cretu Cretu | Psychologist | 3820 Pukalani Pl, Honolulu, HI 96816-3816 | 2020-08-18 |
| 1811512635 | Waves of Insight, LLC | Psychologist | 98-402 Koauka Loop Apt 1404, Aiea, HI 96701-4573 | 2020-06-09 |
| 1710511100 | Lighthouse Therapy & Diagnostic Services | Psychologist | 2509 Kolo Road, Kilauea, HI 96754 | 2020-02-25 |
| 1811546435 | Tami Babino | Psychologist | 95-1249 Meheula Pkwy Ste 195, Mililani, HI 96789-1791 | 2019-09-06 |
| 1477119899 | Patrick Akira Jichaku | Psychologist | 58-129 Wehiwa Way, Haleiwa, HI 96712-9757 | 2019-05-10 |
| 1427513563 | Hannah Im | Psychologist | 377 Keahole St Ste 210, Honolulu, HI 96825-3405 | 2019-02-03 |
| 1427521897 | Amithea Love | Psychologist | 2037 Puu Kaa St, Kapaa, HI 96746-2339 | 2019-01-08 |
| 1699244509 | Jon Joseph Cisneros | Psychologist | 333 Sixth St, Lanai City, HI 96763 | 2018-11-20 |
| 1447729629 | Caitlin J. Tyrrell | Psychologist | 47-668 Hui Kelu St Apt 5, Kaneohe, HI 96744-4626 | 2018-11-17 |
| 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.