Carol E Minn, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-6100 Issued in HI

Practice address

860 Fourth St
Pearl City, HI 96782-3312

Phone

(808) 453-5953

Fax

(808) 453-5966

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of Hawaii Department of Health

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1558223784
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063575801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 LANAKILA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172115",
            "telephone_number": "808-832-3823",
            "fax_number": "808-832-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 FOURTH ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823312",
            "telephone_number": "808-453-5953",
            "fax_number": "808-453-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINN",
        "first_name": "CAROL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-6100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PIN",
            "identifier": "A0211795",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "4270",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gay Mikasa
• Christina Mikolajczyk, RN
• Mililani Gastro, LLC
• John Blake Miller
• Jonathan Mina
• Shalini Mishra, M.D.
• Steven Miyamoto
• Keriann Miyashiro
• Stacey Miyatake
• Bert Tsuneo Momohara, P.T.

• Psychiatry Physician in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.