MR. MARVIN OTIS ST CLAIR III (NPI# 1942343439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942343439 |
| Entity Type | Individual |
| Full Name | MR. MARVIN OTIS ST CLAIR III |
| Credential | LCSW |
| Practice Address |
113850 6th Volcano HI 96785 |
| Mailing Address |
Po Box 575 Volcano HI 96785-0575 |
| Practice Telephone | 8089678580 |
| Practice Fax Number | 8089340071 |
| Mailing Telephone | 8089615166 |
| Mailing Fax Number | 8089340071 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3187 | HI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA PROVIDER NUMBER | 0000252791 | 01 |
| HI | 536336 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 113850 6th, Volcano, HI 96785 | 8089678580 | 8089340071 |
| Street Address |
113850 6TH |
| City | VOLCANO |
| State | HI |
| Zip Code | 96785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278354 | Adele Kahealani Tripp | Technician | 11-3755 Eight St, Volcano, HI 96785 | 2020-06-05 |
| 1417581885 | Paula Elizabeth Hoffman-claypool Ix | Massage Therapist | 99-7806 Kapoha Pl, Volcano, HI 96785 | 2020-02-25 |
| 1356835938 | Laura May Spahn Kaneakua X | Behavioral Analyst | 19-4365 Ainahau Road, Volcano, HI 96785 | 2018-06-18 |
| 1083101596 | Holli Shiro | Lactation Consultant, Non-RN | 11-2919 Kaleponi Rd, Volcano, HI 96785 | 2018-04-19 |
| 1801123955 | Serina Haleaka Kaneaumoana Ki'ili | Doula | 11-3183 Mokuna St, Volcano, HI 96785 | 2009-11-11 |
| 1689818817 | Suzanne Janice Woolley | Massage Therapist | 11-3913 Seventh St., Volcano, HI 96785 | 2009-05-01 |
| 1033354113 | Paradise Home Care Cooperative | Private Vehicle | 11-2860 Alii Kane St, Volcano, HI 96785 | 2008-12-03 |
| 1285767269 | Rohana Bliss Mishler | Physical Therapist | 11-3092 Hoolehua Road, Volcano, HI 96785 | 2007-03-13 |
| 1205837812 | Suzanna Valerie | Nurse Practitioner | 19-4202 Kekoanui Blvd., Volcano, HI 96785 | 2005-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043612112 | Holly Lynn Rockett | Marriage & Family Therapist | 26079 Lupin Rd, Volcano, CA 95689-9783 | 2014-09-20 |
| 1578803110 | Nathaniel Garrett Bland | Emergency Medical Technician, Basic | 24895 Shake Ridge Rd, Volcano, CA 95689-9613 | 2013-02-19 |
| 1629367404 | Melissa Granchi | Marriage & Family Therapist | 19405 Deerwood Dr, Volcano, CA 95689-9771 | 2011-04-01 |
| 1114246444 | Kim Kathleen Aguayo | Chiropractor | 17071 Rams Horn Grade, Volcano, CA 95689 | 2010-05-26 |
| 1871032144 | Melissa Granchi | Case Management | 19405 Deerwood Dr, Volcano, CA 95689-9771 | 2017-02-19 |
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326959 | Presence of Mind Inc | Counselor | 15-1942 7th Ave., Keaau, HI 96749 | 2020-11-06 |
| 1184225443 | Angela Nalani Mendiola | Counselor | 1440 Kapiolani Blvd Ste 1200, Honolulu, HI 96814-3608 | 2020-11-03 |
| 1578161030 | Dawn Marie Blades | Counselor | 15-2822 Popaa St, Pahoa, HI 96778-8557 | 2020-10-15 |
| 1114524725 | Aubrey Mei-ling Lokelani Jenks | Counselor | 94-543 Hiahia Loop, Waipahu, HI 96797-3813 | 2020-10-06 |
| 1104432582 | Charles Rivera | Counselor | 459 Patterson Rd # Mhs-116, Honolulu, HI 96819-1522 | 2020-09-21 |
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1104430123 | Antoinette Kaleiwohiokalani Whittington | Counselor | 41-1452 Laukalo St, Waimanalo, HI 96795-1282 | 2020-09-08 |
| 1295346252 | Ana Malia Kia | Counselor | 2140 10th Ave Apt 303, Honolulu, HI 96816-3044 | 2020-08-13 |
| 1902416498 | Jason Tomoyasu Hew | Counselor | 1305 Lunalilo Home Rd, Honolulu, HI 96825-3215 | 2020-08-09 |
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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.