NPIMap

Organization Active NPI

DSM Therapeutic and Wellness Center LLC

  • Mental Health Counselor
  • Kapolei, HI
National Provider Identifier
1205216959
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DSM THERAPEUTIC AND WELLNESS CENTER LLC
Practice address
91-1100 Paaoloulu Way
Kapolei, HI 96707-3102
Phone
(808) 387-3922
Fax
(808) 672-0104
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Danelle S Medeiros, MSCPNPI 1659753622
Title
Member Manager
Phone
(808) 387-3922

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X HI Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X HI
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X HI

Addresses

Primary practice location

91-1100 Paaoloulu Way
Kapolei, HI 96707-3102

Mailing address

92-7045 Kahea St
Kapolei, HI 96707-2302
Phone (808) 387-3922

National Provider Directory

National Provider Directory

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": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1205216959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-7045 KAHEA ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072302",
            "telephone_number": "808-387-3922",
            "fax_number": "808-672-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1100 PAAOLOULU WAY",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967073102",
            "telephone_number": "808-387-3922",
            "fax_number": "808-672-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSM THERAPEUTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "MEDEIROS",
        "authorized_official_first_name": "DANELLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "808-387-3922",
        "authorized_official_credential": "MSCP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 8, 2015; 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.