Active NPI
Michael V. McCanless, MD
- Psychiatry Physician
- Honolulu, HI
National Provider Identifier
1043310162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-4796
- Practice address
- 1441 Kapiolani Blvd FL 16
Honolulu, HI 96814-4402 - Phone
- (808) 432-7600
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-4796 | HI | Primary |
Addresses
Primary practice location
1441 Kapiolani Blvd FL 16
Honolulu, HI 96814-4402
Mailing address
1441 Kapiolani Blvd FL 16
Honolulu, HI 96814-4402
Phone (808) 432-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000063768 | Other | HI | HMSA BILLING NUMBER |
| 055362-01 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1043310162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD FL 16",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144402",
"telephone_number": "808-432-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD FL 16",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144402",
"telephone_number": "808-432-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANLESS",
"first_name": "MICHAEL",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-4796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000063768",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055362-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
- McAngel Enterprises LLC Dba Hawaii Medical Skin Care
- Sarah Margaret McAuliffe, RN
- Danielle Dee McBride, FNP-C
- Hiromi McBride
- Sarah McCallum
- Carol Louise McCann, FNP
- Reed Dillard McCardell Malone, MD
- Bailee Vernon McCarley, FNP
- Eric J. McCarren, CMA, LMA
- McCarthy Orthopedic Rehabilitation and Sports Clinic Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.