STATE OF HAWAII DEPARTMENT OF HEALTH (NPI# 1891978789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891978789 |
| Entity Type | Organization |
| Organization Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Other Organization Name | EAST HAWAII COMMUNITY MENTAL HEALTH CENTER -WAIMEA CLINIC |
| Practice Address |
67-5189 Kamamalu St Kamuela HI 96743 |
| Mailing Address |
1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 |
| Practice Telephone | 8089330409 |
| Mailing Telephone | 8085907320 |
| Mailing Fax Number | 8085864745 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | RAQUEL B. NAKAHARA (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Telephone | 8085907320 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 53937220 | 05 |
| Other Name | Type Code |
|---|---|
| East Hawaii Community Mental Health Center -Waimea Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770747131 | State of Hawaii Department of Health | Community/Behavioral Health | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-07-15 |
| 1194908087 | State of Hawaii Department of Health | Community/Behavioral Health | 65 Makaena St, Suite 107, Kaunakakai, HI 96748 | 2007-12-13 |
| 1942483839 | State of Hawaii Department of Health | Community/Behavioral Health | 730 Lanai Ave, Suite 6, Lanai City, HI 96763 | 2007-12-13 |
| 1174706063 | State of Hawaii Department of Health | Community/Behavioral Health | 219 B Kaaliki Road, Naalehu, HI 96772 | 2007-12-13 |
| 1679756563 | State of Hawaii Department of Health | Community/Behavioral Health | 54-010 Kukuna Road, Hauula, HI 96717 | 2007-12-13 |
| 1346423233 | State of Hawaii Department of Health | Community/Behavioral Health | 3-3212 Kuhio Highway, Lihue, HI 96766 | 2007-12-13 |
| 1104009091 | State of Hawaii Department of Health | Community/Behavioral Health | 1830 Hooapiilani Highway, Lahaina, HI 96761 | 2007-12-13 |
| 1083897979 | State of Hawaii Department of Health | Community/Behavioral Health | 15-2866 Govt. Road Pahoa Town Center, Bldg. E, Pahoa, HI 96778 | 2007-12-13 |
| 1710263504 | State of Hawaii Department of Health | Community/Behavioral Health | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2011-10-25 |
| 1356627145 | State of Hawaii Department of Health | Community/Behavioral Health | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2011-10-25 |
| Street Address |
67-5189 KAMAMALU ST |
| City | KAMUELA |
| State | HI |
| Zip Code | 96743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281848 | Yvonne Peggy Giron | Massage Therapist | 64-5193 Kinohou Street, Suite 106, Kamuela, HI 96743 | 2019-12-04 |
| 1396209706 | Renee Leiokamalia Wulzen | Massage Therapist | Ironwood Center Suite 106, 64-5193 Kinohou Street, Kamuela, HI 96743 | 2019-01-30 |
| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 1093299752 | Welch Family Chiropractic | Chiropractor | 65-1227a Opelo Rd., 103, Kamuela, HI 96743 | 2018-09-19 |
| 1922585272 | Hamakua Health Center, Inc. | Clinic/Center | 65-1230 Mamalahoa Highway, Suite C 13/14, Kamuela, HI 96743 | 2018-07-19 |
| 1184119554 | Elizabeth Kehau Kealoha | Registered Nurse | 64-778 Paelialanui Street, Kamuela, HI 96743 | 2018-06-27 |
| 1851889000 | Juliana Koffman | Behavioral Analyst | 5-1279 Kawaihae Road, Suite 201, Waimea, HI 96743 | 2018-04-24 |
| 1235646365 | Margaret A Horwatt | Acupuncturist | 65-1235 Opelo Rd #2, Kamuela, HI 96743 | 2018-01-10 |
| 1770099574 | Acupuncture Solutions LLC | Acupuncturist | 64-5263 Hoohoa St, Kamuela, HI 96743 | 2017-12-17 |
| 1477064798 | Patty Ann Kaholokula | Behavioral Analyst | 65-1279 Kawaihae Rd, # 210, Kamuela, HI 96743 | 2017-10-12 |
| Find all providers in zip 96743 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083148431 | Nina M. Kalckar, Lcsw | Community/Behavioral Health | 65-1206 Mamalahoa Hwy, Bld 2-2, Kamuela, HI 96743-7303 | 2017-04-12 |
| 1154861573 | Mauna Kea Sky Counseling LLC | Community/Behavioral Health | 64-1040 Mamalahoa Hwy, Suite 202, Kamuela, HI 96743-8450 | 2017-03-03 |
| 1972975670 | Carol S. Blum, Phd | Community/Behavioral Health | 65-1206 Mamalahoa Hwy, Suite 2-205, Kamuela, HI 96743-7303 | 2015-10-21 |
| 1578948774 | Fabienne Bisaro | Community/Behavioral Health | 65-1206 Mamalahoa Hwy, Kamuela, HI 96743-7303 | 2015-07-29 |
| 1124403480 | Serendipity | Community/Behavioral Health | 65-1206 Mamalahoa Hwy, Kamuela, HI 96743-7303 | 2015-07-28 |
| 1164801221 | Serendipity, LLC | Community/Behavioral Health | 65-1206 Mamalahoa Hwy, Kamuela, HI 96743-7303 | 2015-05-22 |
| 1881961852 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 65-1230 Mamalahoa Hwy, Suite A-11-hawaii Fgc-waimea, Kamuela, HI 96743-8318 | 2011-11-18 |
| 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 |
| 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.