| Optum Behavioral Care Of Ohio, Inc | |
|
850 W Hind Dr Ste 210 Honolulu HI 96821-1845 | |
| (808) 941-9648 | |
| (855) 264-1894 |
| Full Name | Optum Behavioral Care Of Ohio, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 850 W Hind Dr Ste 210, Honolulu, Hawaii |
| Authorized Official Name and Position | Kerry Biscornet (SECRETARY) |
| Authorized Official Contact | 6088542929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Of Ohio, Inc 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (608) 854-2929 | Optum Behavioral Care Of Ohio, Inc 850 W Hind Dr Ste 210 Honolulu HI 96821-1845 Ph: (808) 941-9648 |
| NPI Number | 1548036239 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 7719325083 |
|---|---|
| Medicare Enrollment ID | O20250102001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548036239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Anna Holeikaumaka Grills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649549924 PECOS PAC ID: 7719146851 Enrollment ID: I20190702003319 |
| Provider Name | Lori Ferreira |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811143126 PECOS PAC ID: 6901259043 Enrollment ID: I20240125001313 |
| Provider Name | Chellina Ashley M Okumura |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588473086 PECOS PAC ID: 7517488547 Enrollment ID: I20250306002885 |
| Provider Name | Alison Mcdonald Cameron |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427586833 PECOS PAC ID: 9931620846 Enrollment ID: I20250307002513 |
| Provider Name | David Lloyd Gilbertson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1114198389 PECOS PAC ID: 6204357114 Enrollment ID: I20250307002540 |
| Provider Name | Joseph Hakim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427709484 PECOS PAC ID: 3971938572 Enrollment ID: I20250311002172 |
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