Mandala Integrative Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MANDALA INTEGRATIVE THERAPY, LLC

Practice address

4198 Kilauea Ave
Honolulu, HI 96816-4452

Phone

(808) 276-4160

NPI assigned

Oct 12, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Melanie Kim Van Der Tuin, LMFTNPI 1306575915

Title

Owner/Therapist

Phone

(808) 276-4160

Specialties & licenses 1

Addresses

Practitioners 1

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

• Melanie Kim Van Der Tuin, LMFT

  • Marriage & Family Therapist
  • Honolulu, HI
  • NPI 1306575915
  NPD Authorized official

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1679299507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4198 KILAUEA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164452",
            "telephone_number": "808-276-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4198 KILAUEA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164452",
            "telephone_number": "808-276-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA INTEGRATIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "VAN DER TUIN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "808-276-4160",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manakai O Malama Integrative
• James M. Manaligod, M.D.
• Wendy Harrison-Dunn Manalo
• Olivia Hong Manayan, MD, MPH
• Dymphna R Manayao
• Mandalay Clinic LLC
• Jason Liang Mandap, FNP-C
• Brett Gerald Mandich, DMD
• Maureen A. Mandich, LCSW
• Mindy Lin Mandich, D.O.

• Marriage & Family Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.