| State Of Hawaii, Department Of Health | |
|
1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 | |
| (808) 590-7320 | |
| (808) 586-4745 |
| Full Name | State Of Hawaii, Department Of Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1250 Punchbowl St, Honolulu, Hawaii |
| Authorized Official Name and Position | Raquel Nakahara (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Contact | 8085907320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Hawaii, Department Of Health Po Box 3378 Honolulu HI 96801-3378 Ph: (808) 590-7320 | State Of Hawaii, Department Of Health 1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 Ph: (808) 590-7320 |
| NPI Number | 1306062690 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 06/18/2014 |
| Medicare PECOS PAC ID | 5395648539 |
|---|---|
| Medicare Enrollment ID | O20040127000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306062690 | NPI | - | NPPES |
| 539372 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kathleen F Iannitello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518026467 PECOS PAC ID: 0446247175 Enrollment ID: I20040426001847 |
| Provider Name | Maria Rosario G Mabini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740337203 PECOS PAC ID: 8527099753 Enrollment ID: I20050826000404 |
| Provider Name | Michael J Kou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780758409 PECOS PAC ID: 0244250991 Enrollment ID: I20051128000353 |
| Provider Name | Joshua J Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679509723 PECOS PAC ID: 1456354265 Enrollment ID: I20060817000200 |
| Provider Name | Julie C Hayward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043354137 PECOS PAC ID: 9335135540 Enrollment ID: I20080410000599 |
| Provider Name | Marva L Lawson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801997010 PECOS PAC ID: 2062417983 Enrollment ID: I20081024000234 |
| Provider Name | Frank Bartolone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275674780 PECOS PAC ID: 0547309718 Enrollment ID: I20091201000202 |
| Provider Name | Stephanie M Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003825282 PECOS PAC ID: 8123160330 Enrollment ID: I20100127000281 |
| Provider Name | Thi Ngoc Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073662003 PECOS PAC ID: 6608910419 Enrollment ID: I20100217000565 |
| Provider Name | Ken Matsumoto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225187222 PECOS PAC ID: 2668516485 Enrollment ID: I20100217000617 |
| Provider Name | Leslie H Gise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245239946 PECOS PAC ID: 8628104536 Enrollment ID: I20100330001192 |
| Provider Name | Cyma B Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437472933 PECOS PAC ID: 4082809728 Enrollment ID: I20101108001333 |
| Provider Name | Joan Sr Kagawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184710816 PECOS PAC ID: 0042482184 Enrollment ID: I20111013000291 |
| Provider Name | Shalini Mishra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275655268 PECOS PAC ID: 6204000326 Enrollment ID: I20111129000344 |
| Provider Name | Tammy L Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124193537 PECOS PAC ID: 4486812989 Enrollment ID: I20120229000466 |
| Provider Name | Don D Pedro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861760472 PECOS PAC ID: 9638339617 Enrollment ID: I20120328000978 |
| Provider Name | Estelle Paris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295701589 PECOS PAC ID: 9931115748 Enrollment ID: I20120618000344 |
| Provider Name | Mark A Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194995043 PECOS PAC ID: 4385897305 Enrollment ID: I20121226000191 |
| Provider Name | Giavanna Lau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467444232 PECOS PAC ID: 7517949456 Enrollment ID: I20130415000341 |
| Provider Name | Kisun Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033328695 PECOS PAC ID: 2163553017 Enrollment ID: I20160606001112 |
| Provider Name | Paul S Beighley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376618884 PECOS PAC ID: 6002148475 Enrollment ID: I20191105000226 |
| Provider Name | Channing S Slate |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801021621 PECOS PAC ID: 5698901064 Enrollment ID: I20191206001418 |
| Provider Name | Michel M Fairon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336347798 PECOS PAC ID: 6507887304 Enrollment ID: I20191218002080 |
| Provider Name | David K Bowden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881660884 PECOS PAC ID: 1355230749 Enrollment ID: I20220329001661 |
Hawaii Pacific Neuroscience Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 Liliha St Ste 104, Honolulu, HI 96817 Phone: 808-261-4476 Fax: 808-263-4476 | |
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Boyd. J. Slomoff M.d. Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 220 S. King Street, Suite #980, Honolulu, HI 96813 Phone: 808-551-5168 Fax: 808-521-8046 | |
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