| Alleviant Health Centers Of Honlulu | |
|
1110 University Ave Ste 302 Honolulu HI 96826-1544 | |
| (808) 457-1082 | |
| (808) 356-1649 |
| Full Name | Alleviant Health Centers Of Honlulu |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1110 University Ave Ste 302, Honolulu, Hawaii |
| Authorized Official Name and Position | Thomas Lanno Cook (GENERAL PSYCHIATRIST) |
| Authorized Official Contact | 2395955441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alleviant Health Centers Of Honlulu 1110 University Ave Ste 302 Honolulu HI 96826-1544 Ph: (808) 457-1082 | Alleviant Health Centers Of Honlulu 1110 University Ave Ste 302 Honolulu HI 96826-1544 Ph: (808) 457-1082 |
| NPI Number | 1285038364 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 12/06/2018 |
| Medicare PECOS PAC ID | 8426373879 |
|---|---|
| Medicare Enrollment ID | O20150206001103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285038364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 16978 (Hawaii) | Primary |
| Provider Name | Thomas L Cook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497989149 PECOS PAC ID: 4385969732 Enrollment ID: I20150206001377 |
| Provider Name | Michal Chaya Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447488515 PECOS PAC ID: 7012200579 Enrollment ID: I20160721002109 |
| Provider Name | Erik E Acuna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356740955 PECOS PAC ID: 0244510477 Enrollment ID: I20161206000892 |
| Provider Name | Laine M Guillot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558840249 PECOS PAC ID: 2365796331 Enrollment ID: I20181109000673 |
| Provider Name | Stephen Calvin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215076021 PECOS PAC ID: 1254661770 Enrollment ID: I20190926001719 |
| Provider Name | Matthew Barrett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063626273 PECOS PAC ID: 7517134943 Enrollment ID: I20191130000057 |
| Provider Name | Isaiah M Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184889685 PECOS PAC ID: 6406275015 Enrollment ID: I20210126001747 |
| Provider Name | William T Portman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639551294 PECOS PAC ID: 6406266246 Enrollment ID: I20210615000464 |
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