Melanie Kim Van Der Tuin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT-763 Issued in HI

Practice address

1822 Keeaumoku St
Honolulu, HI 96822-3001

Phone

(808) 276-4160

NPI assigned

Jun 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mandala Integrative Therapy, LLC

  • Marriage & Family Therapist
  • Honolulu, HI
  • NPI 1679299507
  NPD Authorized official

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1306575915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4198 KILAUEA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164452",
            "telephone_number": "808-276-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 KEEAUMOKU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223001",
            "telephone_number": "808-276-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4198 Kilauea Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968164452",
            "country_code": "US",
            "telephone_number": "808-276-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DER TUIN",
        "first_name": "MELANIE",
        "middle_name": "KIM",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Value Drug LTD (Pharmacare)
• Value Drug LTD (Pharmacare)
• Value Drug LTD. (Pharmacare)
• Value Drug LTD. (Pharmacare)
• Jaco J Van Delden, P.T.
• Yurie I Van Dermark, PSYD
• Jay Van Fleet, PH.D.
• Jacqueline Carol Van Loon, LPC LICENSED PROFESS
• Madison Van Peursem
• Julianna Nikulla Van Poele, REGISTERED NURSE

• Marriage & Family Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.