Active NPI
Healthy Mind LLC
- Clinical Psychologist
- Waipahu, HI
National Provider Identifier
1407579303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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, 2022
- 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
- Dr. Agnes Felix, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XXXXXXXXXXXXXXXXXXXX | Medicaid | HI |
Other names 1
- HEALTHY MIND LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | records@dragnesfelix.dsm.phimailbox.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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.