Organization Active NPI

Faith Harriet Foundation

  • Psychologist
  • Waianae, HI
National Provider Identifier
1588817316
Registry record updated Oct 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FAITH HARRIET FOUNDATION
Practice address
87-940 Kulauku St
Waianae, HI 96792-3353
Phone
(808) 275-7330
Fax
(808) 668-1280
NPI assigned
Oct 24, 2008
Last updated
Oct 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2009

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

Authorized official

Name
David Mellem
Title
Board Treasurer
Phone
(808) 275-7330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X
Psychologist 103T00000X Primary

Addresses

Primary practice location

87-940 Kulauku St
Waianae, HI 96792-3353

Mailing address

87-940 Kulauku St
Waianae, HI 96792-3353
Phone (808) 275-7330

Other identifiers 1

IdentifierTypeStateIssuer
0000288522MedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255219200000",
    "number": "1588817316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87-940 KULAUKU ST",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923353",
            "telephone_number": "808-275-7330",
            "fax_number": "808-668-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-940 KULAUKU ST",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923353",
            "telephone_number": "808-275-7330",
            "fax_number": "808-668-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HARRIET FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2009-10-11",
        "status": "A",
        "authorized_official_last_name": "MELLEM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BOARD TREASURER",
        "authorized_official_telephone_number": "808-275-7330"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000288522",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2009; 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.