Organization Active NPI

Hawaii Center for Children and Families, LLC

  • Counseling Psychologist
  • Kapolei, HI
National Provider Identifier
1194163253
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY893 Issued in HI
Legal business name
HAWAII CENTER FOR CHILDREN AND FAMILIES, LLC
Practice address
550 Kunehi St # 205-206
Kapolei, HI 96707-2069
Phone
(808) 746-6416
NPI assigned
Jun 11, 2013
Last updated
Feb 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Jana D Ortiz, PHDNPI 1669681813
Title
Licensed Psychologist
Phone
(808) 674-6641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY893 HI Primary

Addresses

Primary practice location

550 Kunehi St # 205-206
Kapolei, HI 96707-2069

Mailing address

1600 Kapiolani Blvd Ste 524
Honolulu, HI 96814-3805
Phone (808) 369-0796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191210003298 HI Part B Supplier - Clinic/Group Practice 8820421589 Receives reassigned benefits from 9 practitioners
Practice locations: Kapolei, HI; Kahului, HI

National Provider Directory

National Provider Directory

Locations

169 Maa St
Ste A
Kahului, HI 96732
Phone (808) 674-6641

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1194163253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 524",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143805",
            "telephone_number": "808-369-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 KUNEHI ST # 205-206",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072069",
            "telephone_number": "808-746-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII CENTER FOR CHILDREN AND FAMILIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-674-6641",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "HI",
            "license": "PSY893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.

Verify at the official NPI Registry.