Organization Active NPI

Maui Mind Care LLC

  • Adult Mental Health Clinic/Center
  • Kahului, HI
National Provider Identifier
1255090924
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MAUI MIND CARE LLC
Practice address
33 Lono Ave Ste 480
Kahului, HI 96732-1608
Phone
(808) 379-3798
NPI assigned
Dec 9, 2021
Last updated
Dec 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Dr. Brian Teliho, MDNPI 1720107972
Title
Medical Director
Phone
(808) 379-3798

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

33 Lono Ave Ste 480
Kahului, HI 96732-1608

Mailing address

PO Box 1150
Kula, HI 96790-1150
Phone (808) 379-3798

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL contact@mauimindcare.com

National Provider Directory

National Provider Directory

Locations

33 Lono Ave
Ste 480
Kahului, HI 96732
Phone (218) 556-6056

Practitioners & affiliated clinicians

Practitioners 2

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": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1255090924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967901150",
            "telephone_number": "808-379-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LONO AVE STE 480",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321608",
            "telephone_number": "808-379-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI MIND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "TELIHO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-379-3798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "contact@mauimindcare.com",
            "affiliation": "N",
            "address_1": "33 Lono Ave Ste 480",
            "city": "Kahului",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967321608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.