| 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 | Robert Asa Locklear |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124661202 PECOS PAC ID: 1052762655 Enrollment ID: I20240108006043 |
| Provider Name | Lori Ferreira |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811143126 PECOS PAC ID: 6901259043 Enrollment ID: I20240125001313 |
| Provider Name | Marcia A Myers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740474766 PECOS PAC ID: 7315390192 Enrollment ID: I20240129000984 |
| Provider Name | Joanne P Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154198729 PECOS PAC ID: 3274974100 Enrollment ID: I20240509002523 |
| Provider Name | Quanae Hewitt Lill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902578008 PECOS PAC ID: 0446795264 Enrollment ID: I20240716002913 |
| 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 |
| Provider Name | Elisa Sapienza |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578618666 PECOS PAC ID: 3274055108 Enrollment ID: I20250319004032 |
| Provider Name | Britt Romy Young |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649513458 PECOS PAC ID: 6709313737 Enrollment ID: I20250321000369 |
| Provider Name | Nicole Knapp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558148452 PECOS PAC ID: 7416479035 Enrollment ID: I20250324001175 |
| Provider Name | Alexis N Lane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275064941 PECOS PAC ID: 1658894928 Enrollment ID: I20250327000680 |
| Provider Name | Vivian Naomi Minamishin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548961535 PECOS PAC ID: 5092238378 Enrollment ID: I20250327000858 |
| Provider Name | Cierra Yoshikawa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316606130 PECOS PAC ID: 3971026139 Enrollment ID: I20250327003474 |
| Provider Name | Misty Wright-genous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013517655 PECOS PAC ID: 5294183794 Enrollment ID: I20250328001107 |
| Provider Name | Sandra Bunnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780370445 PECOS PAC ID: 0446773550 Enrollment ID: I20250331000666 |
| Provider Name | Brandi Lei Lawrence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962847004 PECOS PAC ID: 4183148851 Enrollment ID: I20250403003726 |
| Provider Name | Amy Pui Yi Yang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811403975 PECOS PAC ID: 6709300304 Enrollment ID: I20250404000732 |
| Provider Name | Tiara Liquido |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164858395 PECOS PAC ID: 4183148521 Enrollment ID: I20250408000896 |
| Provider Name | Natalie Quintana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780960450 PECOS PAC ID: 9638693716 Enrollment ID: I20250410000953 |
| Provider Name | Johanna Jacqueline Ancheta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265884019 PECOS PAC ID: 8921523572 Enrollment ID: I20250416002829 |
| Provider Name | Leana Scibetta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215716287 PECOS PAC ID: 9335664994 Enrollment ID: I20250416003027 |
| Provider Name | Alison Tsugie Matsumoto-kong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861129272 PECOS PAC ID: 3173048550 Enrollment ID: I20250417002649 |
| Provider Name | Kealakai-malie Suzanne Hammond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649827775 PECOS PAC ID: 1759806011 Enrollment ID: I20250418001230 |
| Provider Name | Zachary Callaghan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356856686 PECOS PAC ID: 4587189691 Enrollment ID: I20250422001920 |
| Provider Name | Kristy Jayne Anderson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225785116 PECOS PAC ID: 4880119726 Enrollment ID: I20250423001524 |
| Provider Name | Kelsi Yonting |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104293968 PECOS PAC ID: 5597281113 Enrollment ID: I20250428001445 |
| Provider Name | Carmen Nicole Gonowon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750090452 PECOS PAC ID: 0749706380 Enrollment ID: I20250428001908 |
| Provider Name | Katherine Liang |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1649656281 PECOS PAC ID: 8426574732 Enrollment ID: I20250430000199 |
| Provider Name | Levin A Matsukawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215188099 PECOS PAC ID: 7214454818 Enrollment ID: I20250507001716 |
| Provider Name | Sonja Maile Cookman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740027655 PECOS PAC ID: 9234656851 Enrollment ID: I20250520002314 |
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