Organization Active NPI

Kapolei Counseling LTD

  • Clinical Psychologist
  • Kapolei, HI
National Provider Identifier
1457410532
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
307 Issued in HI
Legal business name
KAPOLEI COUNSELING LTD
Practice address
91-110 Hanua St
#208A
Kapolei, HI 96707-1742
Phone
(808) 682-5808
Fax
(808) 682-5808
NPI assigned
Dec 6, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Nada Rose Mangialetti, PH.D.NPI 1215005673
Title
Owner, President
Phone
(808) 682-5808

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 307 HI Primary

Addresses

Primary practice location

91-110 Hanua St
#208A
Kapolei, HI 96707-1742

Mailing address

91-110 Hanua St
#208A
Kapolei, HI 96707-1742
Phone (808) 682-5808

Other identifiers 5

IdentifierTypeStateIssuer
508654OtherHIHMA
1413644OtherHIUHA
420425OtherHIVALUE OPTIONS
01758802OtherHIALOHACAREQUEST
01758802MedicaidHI

National Provider Directory

National Provider Directory

Locations

91-110 Hanua St
Ste 208A
Kapolei, HI 96707
Phone (808) 383-3764

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1457410532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-110 HANUA ST",
            "address_2": "#208A",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071742",
            "telephone_number": "808-682-5808",
            "fax_number": "808-682-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-110 HANUA ST",
            "address_2": "#208A",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071742",
            "telephone_number": "808-682-5808",
            "fax_number": "808-682-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPOLEI COUNSELING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MANGIALETTI",
        "authorized_official_first_name": "NADA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "808-682-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "508654",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "1413644",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "420425",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACAREQUEST",
            "identifier": "01758802",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01758802",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.