Integrated Mental Health Service Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

INTEGRATED MENTAL HEALTH SERVICE INC

Practice address

1847 S Kihei Rd Ste 205
Kihei, HI 96753-7939

Phone

(808) 280-2067

NPI assigned

Jul 1, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cheri EwingNPI 1083775431

Title

Owner

Phone

(808) 280-2067

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheri Ann Ewing, PHD

  • Clinical Psychologist
  • Kihei, HI
  • NPI 1083775431
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1023246790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967530958",
            "telephone_number": "808-280-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 S KIHEI RD STE 205",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537939",
            "telephone_number": "808-280-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 S Oakland Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911064324",
            "country_code": "US",
            "telephone_number": "808-280-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED MENTAL HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-280-2067",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Kihei, HI
• Providers in Kihei, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.