Organization Active NPI

Healthy Mind LLC

  • Clinical Psychologist
  • Waipahu, HI
National Provider Identifier
1407579303
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HEALTHY MIND LLC
Doing business as
Healthy Mind LLC
Practice address
94-210 Pupukahi St Ste 207
Waipahu, HI 96797-2649
Phone
(808) 382-6816
NPI assigned
Sep 26, 2022
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Dr. Agnes Felix, PHDNPI 1508923772
Title
Member
Phone
(808) 382-6816

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
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

94-210 Pupukahi St Ste 207
Waipahu, HI 96797-2649

Mailing address

PO Box 2224
Ewa Beach, HI 96706-0224
Phone (808) 382-6816

Other identifiers 1

IdentifierTypeStateIssuer
XXXXXXXXXXXXXXXXXXXXMedicaidHI

Other names 1

  • HEALTHY MIND LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@dragnesfelix.dsm.phimailbox.com Direct

National Provider Directory

National Provider Directory

Locations

94-210 Pupukahi St
Ste 207
Waipahu, HI 96797
Phone (808) 382-6816

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": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1407579303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2224",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967060224",
            "telephone_number": "808-382-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-210 PUPUKAHI ST STE 207",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972649",
            "telephone_number": "808-382-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-382-6816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XXXXXXXXXXXXXXXXXXXX",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@dragnesfelix.dsm.phimailbox.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "94-210 Pupukahi St Ste 207",
            "city": "Waipahu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967972649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HEALTHY MIND LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.