Nova Luna

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

LCSW3028 Issued in HI

Legal business name

NOVA LUNA

Practice address

1152 Makawao Ave
Makawao, HI 96768-9448

Phone

(808) 870-9886

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Villanti, LCSWNPI 1720100365

Title

Clinician

Phone

(808) 870-9886

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Michelle Villanti, LCSW

  • Clinical Social Worker
  • Makawao, HI
  • NPI 1720100365
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649483124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 MAKAWAO AVE PMB 340",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967687403",
            "telephone_number": "808-870-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 MAKAWAO AVE",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689448",
            "telephone_number": "808-870-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA LUNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLANTI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "808-870-9886",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "HI",
            "license": "LCSW3028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "259812",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Waves Wellness Center, Inc.
• Nina Vishnevska MD Inc
• Alan D. Nitake, P.T.
• Milagros Noel, MS
• Nohoana Way of Life Inc
• Ohana Recovery
• Ohana-Hale Acupuncture, Inc.
• Kevin R. Omuro, D.M.D.
• On the Path Counseling, LLC
• Optimal Physical Therapy,LLC

• Psychiatric Hospital in Makawao, HI
• Providers in Makawao, HI by specialty
• Psychiatric Hospital in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.