DR. ELIZABETH KEOLANI TAITANO (NPI# 1972934099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972934099 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH KEOLANI TAITANO |
| Credential | PH.D., LLC |
| Practice Address |
354 Uluniu St Ste 312 Kailua HI 96734-2528 |
| Mailing Address |
Po Box 884 Kailua HI 96734-0884 |
| Practice Telephone | 8083414328 |
| Practice Fax Number | 8773488227 |
| Mailing Telephone | 8083414328 |
| Mailing Fax Number | 8773488227 |
| Enumeration Date | 2013-11-30 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1435 | HI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 791097 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Aulike St, Suite 411, Kailua, HI 967342758 | 8083414328 | 8773488227 |
| Street Address |
354 ULUNIU ST STE 312 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407339344 | Dhira Dibiase | Psychologist | 341 Hualani St, Kailua, HI 96734-2202 | 2018-09-06 |
| 1831647031 | Erin Fettes | Psychologist | 156 Kihapai St Apt B, Kailua, HI 96734-2630 | 2016-09-15 |
| 1053767004 | Bracken Gott | Psychologist | 1530 Mokulua Dr, Kailua, HI 96734-3254 | 2016-05-09 |
| 1699187997 | Andrea Hiura | Psychologist | 42-470 Kalanianaole Hwy Bldg 3, Kailua, HI 96734-4373 | 2014-05-21 |
| 1548502602 | Brighter Day Health LLC | Psychologist | 354 Olomana St, Kailua, HI 96734-2217 | 2013-03-26 |
| 1326396037 | Allison Gunderson | Psychologist | 111 Hekili St Ste A2306, Kailua, HI 96734-2800 | 2012-08-28 |
| 1649506650 | Jessica Harper | Psychologist | 337 Uluniu St, Suite 201, Kailua, HI 96734 | 2009-10-26 |
| 1689889768 | Paradigm Hawaii Counseling Inc | Psychologist | 970 N Kalaheo Ave Ste A216, Kailua, HI 96734-1869 | 2007-05-11 |
| 1609097781 | Samantha Tavares | Psychologist | 43 Oneawa St Ste 211, Kailua, HI 96734-2526 | 2007-05-02 |
| 1841418548 | Lisa Wai Mui Ambrosino Ho | Psychologist | 30 Aulike St Ste 308, Kailua, HI 96734-2751 | 2007-04-20 |
| Find all providers in KAILUA | ||||
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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.