| Hawaii Center For Children And Families, Llc | |
|
550 Kunehi St # 205-206 Kapolei HI 96707-2069 | |
| (808) 746-6416 | |
| Not Available |
| Full Name | Hawaii Center For Children And Families, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 550 Kunehi St # 205-206, Kapolei, Hawaii |
| Authorized Official Name and Position | Jana D Ortiz (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8086746641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawaii Center For Children And Families, Llc 1600 Kapiolani Blvd Ste 524 Honolulu HI 96814-3805 Ph: (808) 369-0796 | Hawaii Center For Children And Families, Llc 550 Kunehi St # 205-206 Kapolei HI 96707-2069 Ph: (808) 746-6416 |
| NPI Number | 1194163253 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Medicare PECOS PAC ID | 8820421589 |
|---|---|
| Medicare Enrollment ID | O20191210003298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194163253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY893 (Hawaii) | Primary |
| Provider Name | Jana D Ortiz |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1669681813 PECOS PAC ID: 1759423536 Enrollment ID: I20100115000682 |
| Provider Name | Sheri Yasuna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831591718 PECOS PAC ID: 8729390844 Enrollment ID: I20150702000855 |
| Provider Name | Michael D Broadwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053645119 PECOS PAC ID: 5395081269 Enrollment ID: I20190114002381 |
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