DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION


Address: 54-010 Kukuna St, Oahu Central-fgc-hauula, Hauula, HI 96717-9628
Phone: 8082938993

DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION (NPI# 1942577739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942577739
Entity Type Organization
Organization Name DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION
Practice Address 54-010 Kukuna St
Oahu Central-fgc-hauula
Hauula
HI 96717-9628
Mailing Address 3627 Kilauea Ave
Room 101-attn: Phao
Honolulu
HI 96816-2317
Practice Telephone 8082938993
Mailing Telephone 8087334198
Mailing Fax Number 8087338375
Enumeration Date 2011-11-21
Last Update Date 2011-11-21
Authorized Official Name DR. M. STANTON MICHELS (ADMINISTRATOR)
Authorized Official Telephone 8087339339
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932477999 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 4111 Hana Hwy, Maui-fgc-hana, Hana, HI 96713 2011-12-06
1255609202 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 555 Fraser Ave, Maui-fgc-lanai, Lanai City, HI 96763 2011-12-06
1235406208 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 3-3204 Kuhio Hwy, Room 104-kauai Fgc, Lihue, HI 96766-1135 2011-11-18
1700153772 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 601 Kamokila Blvd, Room 355-oahu Leeward Fgc, Kapolei, HI 96707-2023 2011-11-18
1871860841 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 1830 Honoapiilani Hwy, Maui-fgc-lahaina, Lahaina, HI 96761-1856 2011-11-18
1255600656 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 860 Fourth St, 2nd Floor-oahu Central Fgc, Pearl City, HI 96782-3312 2011-12-14
1164791562 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 45-691 Keaahala Rd, Oahu Central Fgc-kaneohe, Kaneohe, HI 96744-3569 2011-12-14
1437428836 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 3627 Kilauea Ave, Room 401-honolulu Fgc, Honolulu, HI 96816-2317 2011-12-14
1184992158 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 65 Makaena St, Maui-fgc-molokai, Kaunakakai, HI 96748 2011-12-06
1518234582 Dept. of Health-hawaii-child and Adolescent Mental Health Division Community/Behavioral Health 88 Kanoelehua Ave, Suite A-204: Hawaii Fgc-hilo, Hilo, HI 96720-4670 2011-11-18

Office Location

Street Address 54-010 KUKUNA ST
OAHU CENTRAL-FGC-HAUULA
City HAUULA
State HI
Zip Code 96717-9628

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205453602 Jbishop, LLC Behavior Technician 53-378 Kamehameha Hwy. Apt V, Hauula, HI 96717 2020-07-01
1770046674 Neil O Annandale Psychologist 54-242b Honomu Street, Hauula, HI 96717 2019-04-09
1902358641 Hollie Renee Seward Nurse Practitioner 54-316 Kamehameha Hwy Ste 6, Hauula, HI 96717 2016-10-28
1720377534 Brighton Rehabilitation LLC Occupational Therapist 53-394 Kamehameha Hwy, Hauula, HI 96717 2011-04-01
1851561542 Efren D Baria Md Inc Anesthesiology 54-288 Kawaipuna Place, Hauula, HI 96717 2008-03-10
1679756563 State of Hawaii Department of Health Community/Behavioral Health 54-010 Kukuna Road, Hauula, HI 96717 2007-12-13
1063833655 Ko'olauloa Health Center Clinic/Center 54-316 Kamehameha Hwy, Hauula, HI 96717 2013-12-27
1063694594 Frank J Macali Physician Assistant 54-014 Kukuna St Apt B, Hauula, HI 96717-8611 2007-11-27
1407268899 Brandi K.c. Crawford Social Worker 54-137 Kawaipuna St, Hauula, HI 96717-9511 2014-05-20
1871649178 Rachel Harue Bingue Nurse Practitioner 54-237 Kamehameha Hwy, Hauula, HI 96717-9522 2007-01-27
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679756563 State of Hawaii Department of Health Community/Behavioral Health 54-010 Kukuna Road, Hauula, HI 96717 2007-12-13

Providers in the same taxonomy and state

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
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Competitor

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City HAUULA
Zip Code 96717

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Dataset Information

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.

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