NPIMap

Organization Active NPI

Melissa L Belanger PSYD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kaneohe, HI
National Provider Identifier
1205121373
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PSY 753 Issued in HI
Legal business name
MELISSA L BELANGER PSYD LLC
Practice address
45-955 Kamehameha Hwy Ste 306
Kaneohe, HI 96744-3292
Phone
(808) 247-7900
Fax
(808) 254-4526
NPI assigned
Jun 16, 2011
Last updated
Jun 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Dr. Melissa Lee Belanger, PSYDNPI 1083635155
Title
President
Phone
(808) 247-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PSY 753 HI Primary

Addresses

Primary practice location

45-955 Kamehameha Hwy Ste 306
Kaneohe, HI 96744-3292

Mailing address

PO Box 1451
Kailua, HI 96734-1451
Phone (808) 247-7900

Other identifiers 1

IdentifierTypeStateIssuer
55627701MedicaidHI

National Provider Directory

National Provider Directory

Locations

45-955 Kamehameha Hwy
Ste 306
Kaneohe, HI 96744
Phone (808) 247-2961

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1205121373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1451",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341451",
            "telephone_number": "808-247-7900",
            "fax_number": "808-254-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-955 KAMEHAMEHA HWY STE 306",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443292",
            "telephone_number": "808-247-7900",
            "fax_number": "808-254-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA L BELANGER PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "BELANGER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-247-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "HI",
            "license": "PSY 753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55627701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.