Big Island Psychiatry LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MD-18550 Issued in HI

Legal business name

BIG ISLAND PSYCHIATRY LLC

Doing business as

Big Island Psychiatry

Practice address

65-1230 Mamalahoa Hwy
Ste D21
Kamuela, HI 96743-8318

Phone

(253) 678-5715

NPI assigned

Mar 18, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Channing Scott Slate, M.D.NPI 1801021621

Title

Owner

Phone

(253) 678-5715

Specialties & licenses 1

Addresses

Other names 1

• Big Island Psychiatry Doing business as

Locations

Practitioners 1

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

• Channing Scott Slate, M.D.

  • Psychiatry Physician
  • Wailuku, HI
  • NPI 1801021621
  NPD (past) Authorized official

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489795200000",
    "number": "1134660582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967780023",
            "telephone_number": "253-678-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY",
            "address_2": "STE D21",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438318",
            "telephone_number": "253-678-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG ISLAND PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-03-18",
        "status": "A",
        "authorized_official_last_name": "SLATE",
        "authorized_official_first_name": "CHANNING",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-678-5715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "HI",
            "license": "MD-18550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Island Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Berry, ATC
• Amber Lynn Bhamra, APN
• Yashoda Bhaskar, M.D.
• Big Island Endoscopy Center, LLC
• Big Island Optical Inc
• Robin M Birdsong, MA
• Fabienne Bisaro, M.F.T.
• Bodypro Occupational Therapy
• Bodypro Physical Therapy Inc (Bodypro Physical Therapy)
• Patricia A Bourke, NP

• Adult Mental Health Clinic/Center in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Adult Mental Health Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.