Organization Active NPI

Cultivate Mental Health & Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kailua Kona, HI
National Provider Identifier
1336993971
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CULTIVATE MENTAL HEALTH & WELLNESS, LLC
Practice address
76-6225 Kuakini Hwy Ste C101
Kailua Kona, HI 96740-3212
Phone
(808) 329-7067
Fax
(808) 329-2404
NPI assigned
Apr 11, 2024
Last updated
Apr 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VIRGINIA HATCH-PIGOTT, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Dr. Virginia Burford Hatch-Pigott, MDNPI 1457325664
Title
Owner
Phone
(808) 854-7028

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

76-6225 Kuakini Hwy Ste C101
Kailua Kona, HI 96740-3212

Mailing address

76-6225 Kuakini Hwy Ste C101
Kailua Kona, HI 96740-3212
Phone (808) 329-7067

Other names 1

  • Cultivate Mental Health & Wellness, LLC Other name

National Provider Directory

National Provider Directory

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": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1336993971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY STE C101",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403212",
            "telephone_number": "808-329-7067",
            "fax_number": "808-329-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76-6225 KUAKINI HWY STE C101",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403212",
            "telephone_number": "808-329-7067",
            "fax_number": "808-329-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE MENTAL HEALTH & WELLNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA HATCH-PIGOTT, MD",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "HATCH-PIGOTT",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "BURFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-854-7028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivate Mental Health & Wellness, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.