NPIMap

Organization Active NPI

State of Hawaii Department of Health

  • Community/Behavioral Health Agency
  • Wahiawa, HI
National Provider Identifier
1457534083
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STATE OF HAWAII DEPARTMENT OF HEALTH
Practice address
910 California Ave
Wahiawa, HI 96786-2124
Phone
(808) 453-5953
NPI assigned
Dec 5, 2007
Organization subpart
Yes
Parent organization
STATE OF HAWAII DEPARTMENT OF HEALTHAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Raquel B. Nakahara
Title
Financial Resource Specialist
Phone
(808) 590-7320

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127000902 HI Part B Supplier - Clinic/Group Practice 5395648539 Receives reassigned benefits from 23 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kealakekua, HI; Lahaina, HI; Lanai City, HI; Kaneohe, HI; Lihue, HI; Naalehu, HI; Pahoa, HI; Pearl City, HI…

National Provider Directory

National Provider Directory
Tax ID family
Hawaii County Comm HLTH103 organizations share this tax ID, including this one
Part of
Hawaii County Comm HLTH

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

910 California Ave
Wahiawa, HI 96786-2124

Mailing address

1250 Punchbowl St
RM 256
Honolulu, HI 96813-2416
Phone (808) 590-7320

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
53937211MedicaidHI

Other names 1

NPPES NPI Registry
  • Wahiawa Community Mental Health Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2014.

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1457534083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PUNCHBOWL ST",
            "address_2": "RM 256",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132416",
            "telephone_number": "808-590-7320",
            "fax_number": "808-586-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CALIFORNIA AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862124",
            "telephone_number": "808-453-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF HAWAII DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF HAWAII DEPARTMENT OF HEALTH",
        "enumeration_date": "2007-12-05",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "NAKAHARA",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "FINANCIAL RESOURCE SPECIALIST",
        "authorized_official_telephone_number": "808-590-7320"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53937211",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wahiawa Community Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.