Active NPI
Orchid Isle Hawai'I, Inc
Doing business as Orchid Isle Psychotherapy
- Marriage & Family Therapist
- Kailua Kona, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT154
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy M Sallee, MA, MFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT154 | HI | Primary |
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 612524-01 | Medicaid | HI | |
| 612524-01 | Medicaid | CA |
Other names 1
- Orchid Isle Psychotherapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.