DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION (NPI# 1962779934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962779934 |
| Entity Type | Organization |
| Organization Name | DEPT. OF HEALTH-HAWAII-CHILD AND ADOLESCENT MENTAL HEALTH DIVISION |
| Practice Address |
270 Waiehu Beach Rd Unit 213-maui Fgc-wailuku Wailuku HI 96793-1472 |
| Mailing Address |
3627 Kilauea Ave Room 101-attn: Phao Honolulu HI 96816-2317 |
| Practice Telephone | 8082431252 |
| Practice Fax Number | 8082431254 |
| Mailing Telephone | 8087334198 |
| Mailing Fax Number | 8087338375 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | DR. M. STANTON MICHELS (ADMINISTRATOR) |
| Authorized Official Telephone | 8087339339 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| 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 |
| 1942577739 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 54-010 Kukuna St, Oahu Central-fgc-hauula, Hauula, HI 96717-9628 | 2011-11-21 |
| 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 |
| Street Address |
270 WAIEHU BEACH RD UNIT 213-MAUI FGC-WAILUKU |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699852467 | Jon Betwee | Psychiatry & Neurology | 270 Waiehu Beach Rd, Suite215, Wailuku, HI 96793-1472 | 2006-11-01 |
| 1366916108 | Sarah Ahmad Waseeq | Counselor | 270 Waiehu Beach Rd, Wailuku, HI 96793-1472 | 2019-01-15 |
| 1871099028 | Rachel Nakamura | Behavior Technician | 270 Waiehu Beach Rd, Wailuku, HI 96793-1472 | 2018-04-04 |
| 1740797554 | Jeanette Zarr | Behavior Technician | 270 Waiehu Beach Rd, Wailuku, HI 96793-1472 | 2018-01-02 |
| 1225544216 | Jay-dee Kuanna | Behavior Technician | 270 Waiehu Beach Rd, Wailuku, HI 96793-1472 | 2017-12-28 |
| 1487160404 | Taylor Edwards | Behavior Technician | 270 Waiehu Beach Rd, Wailuku, HI 96793-1472 | 2017-12-28 |
| 1386150449 | Laura Marzke | Behavior Technician | 270 Waiehu Beach Rd, Wailuku, HI 96793-1472 | 2017-12-26 |
| 1831605997 | Tinani Kawai'ekapakahula-brittendall | Behavior Technician | 270 Waiehu Beach Rd, Wailuku, HI 96793-1472 | 2017-12-26 |
| 1588015218 | Yasmin Kurdi | Behavioral Analyst | 270 Waiehu Beach Rd, Wailuku, HI 96793-1472 | 2016-06-23 |
| 1407203938 | Susann Elliott | Behavioral Analyst | 270 Waiehu Beach Rd, Suite 214, Wailuku, HI 96793-1472 | 2016-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| 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 |
|---|---|---|---|---|
| 1932648474 | Dorene Toutant LLC | Community/Behavioral Health | 50 Kaukini Loop, Wailuku, HI 96793-5755 | 2017-02-16 |
| 1497293872 | Jocelyn G. Cordero, Lmft | Community/Behavioral Health | 3450 Kahekili Hwy, Wailuku, HI 96793-9235 | 2017-02-07 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1316290489 | Jeanette Evans, Inc. | Community/Behavioral Health | 55 N Church St, Suite #2, Wailuku, HI 96793-1682 | 2012-10-25 |
| 1225386493 | Akamai Recovery Maui | Community/Behavioral Health | 2070 W Vineyard St, Suite 5, Wailuku, HI 96793-1699 | 2012-08-20 |
| 1073789699 | Parents and Children Together | Community/Behavioral Health | 81 N Market St, Ste. 200, Wailuku, HI 96793-1719 | 2008-05-03 |
| 1578746467 | Community Mental Health Center Clubhouse- Hale O Lanakila | Community/Behavioral Health | 1765 Wili Pa Loop, Wailuku, HI 96793 | 2007-12-13 |
| 1407023526 | Follow Your Dreams Inc | Community/Behavioral Health | 2200 Main Street, Suite 505, Wailuku, HI 96793-1624 | 2008-05-08 |
| 1295918183 | State of Hawaii Department of Health | Community/Behavioral Health | 121 Mahalani St, Wailuku, HI 96793 | 2007-12-13 |
| 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.