Active NPI
Comprehensive Health and Attitude Management Programs Inc
- Methadone Clinic
- Honolulu, HI
National Provider Identifier
1184760985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- E02564
- Legal business name
- COMPREHENSIVE HEALTH AND ATTITUDE MANAGEMENT PROGRAMS INC
- Practice address
- 173 South Kukui Street
Honolulu, HI 96813 - Phone
- (808) 426-4515
- Fax
- (808) 426-4519
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Cristiane S Caleffi
- Title
- Biller
- Phone
- (808) 258-7271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | E02564 | HI | Primary |
Addresses
Primary practice location
173 South Kukui Street
Honolulu, HI 96813
Mailing address
173 South Kukui Street
Honolulu, HI 96813
Phone (808) 426-4515
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C0212144 | Other | HI | HMSA CCS |
| 00C0212146 | Other | HI | HMSA |
| 54447001 | Medicaid | HI |
Other names 1
- CHAMP INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160606002712 | HI | Part B Supplier - Clinic/Group Practice | 6608166434 |
Receives reassigned benefits from 2 practitioners Practice locations: Honolulu, HI; Wailuku, HI |
| O20200121001279 | HI | Part B Supplier - Opioid Treatment Program (Otp) | 6608166434 |
1 other NPI on this enrollment Practice locations: Honolulu, HI; Wailuku, HI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Methadone Clinic
- Wailuku, HI
- NPI 1770624074
O20200121001279
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive Health and Attitude Management Programs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Methadone Clinic
- Wailuku, HI
- NPI 1770624074
Locations
173 S Kukui St
Honolulu, HI 96813
Phone (808) 426-4515
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Methadone Clinic
- Wailuku, HI
- NPI 1770624074
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463011200000",
"number": "1184760985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 SOUTH KUKUI STREET",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-426-4515",
"fax_number": "808-426-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 SOUTH KUKUI STREET",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-426-4515",
"fax_number": "808-426-4519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE HEALTH AND ATTITUDE MANAGEMENT PROGRAMS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2016-05-12",
"status": "A",
"authorized_official_last_name": "CALEFFI",
"authorized_official_first_name": "CRISTIANE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "808-258-7271",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "HI",
"license": "E02564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA CCS",
"identifier": "00C0212144",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00C0212146",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54447001",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHAMP INC",
"code": "5",
"type": "Other Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.