Active NPI
Naleen N Andrade, M.D.
- Psychiatry Physician
- Honolulu, HI
National Provider Identifier
1154541555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-4989
- Practice address
- 1301 Punchbowl St
The Queen's Medical Center - Professional Billing
Honolulu, HI 96813-2402 - Phone
- (808) 586-2900
- Fax
- (808) 586-2940
- NPI assigned
- Apr 26, 2007
- Last updated
- Jun 26, 2020
- Sex
- Female
- 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-4989 | HI | Primary |
Addresses
Primary practice location
1301 Punchbowl St
The Queen's Medical Center - Professional Billing
Honolulu, HI 96813-2402
Mailing address
60 N Beretania St
# 1102
Honolulu, HI 96817-4752
Phone (808) 586-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2409-1 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-4989 | HI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1154541555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 N BERETANIA ST",
"address_2": "# 1102",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174752",
"telephone_number": "808-586-2900",
"fax_number": "808-586-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PUNCHBOWL ST",
"address_2": "THE QUEEN'S MEDICAL CENTER - PROFESSIONAL BILLING",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132402",
"telephone_number": "808-586-2900",
"fax_number": "808-586-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDRADE",
"first_name": "NALEEN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-4989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2409-1",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.