Organization Active NPI

Orchid Isle Hawai'I, Inc

Doing business as Orchid Isle Psychotherapy

  • Marriage & Family Therapist
  • Kailua Kona, HI
National Provider Identifier
1376055046
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT154 Issued in HI
Legal business name
ORCHID ISLE HAWAI'I, INC
Doing business as
Orchid Isle Psychotherapy
Practice address
75-5995 Kuakini Hwy.
Ste 900
Kailua-Kona, HI 96740
Phone
(808) 333-8988
Fax
(808) 464-4257
NPI assigned
Nov 2, 2017
Last updated
Nov 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Ms. Nancy M Sallee, MA, MFTNPI 1972672954
Title
Owner
Phone
(808) 333-8988

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT154 HI Primary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFCC38611 CA

Addresses

Primary practice location

75-5995 Kuakini Hwy.
Ste 900
Kailua-Kona, HI 96740

Mailing address

77-401 Pu'Uwai Ali'I Place
Kailua-Kona, HI 96740
Phone (808) 333-8988

Other identifiers 2

IdentifierTypeStateIssuer
612524-01MedicaidHI
612524-01MedicaidCA

Other names 1

  • Orchid Isle Psychotherapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240710000103 HI Part B Supplier - Clinic/Group Practice 6103361571 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua Kona, HI

National Provider Directory

National Provider Directory

Locations

75-5995 Kuakini Hwy
Kailua Kona, HI 96740
Phone (808) 329-2500

75-5995 Kuakini Hwy
Ste 900
Kailua Kona, HI 96740
Phone (808) 333-8988

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": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1376055046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77-401 PU'UWAI ALI'I PLACE",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-333-8988",
            "fax_number": "808-322-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY.",
            "address_2": "STE 900",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-333-8988",
            "fax_number": "808-464-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID ISLE HAWAI'I, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "SALLEE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-333-8988",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT154",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFCC38611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "612524-01",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "612524-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchid Isle Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.