Deanna Dibiase
Individual provider Active NPI Community/Behavioral Health Agency · Makawao, HI
NPI 1689228710 · NPPES record last updated Jul 26, 2019
Key facts
- NPI
- 1689228710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- MHC-61 (HI)
- Practice address
- 120 Makani Rd
Makawao, HI 96768-8916 - Phone
- (808) 269-3326
- NPI assigned
- Jul 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC-61 | HI | MD | Community/Behavioral Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHC-61 | HI | Yes |
Addresses
Primary practice location
120 Makani Rd
Makawao, HI 96768-8916
Mailing address
4 Manuahi PL
Haiku, HI 96708-5034
Phone (808) 269-3326
Other providers in Makawao, HI
- Gabriel Davis
- Danielle De Longe
- Malena Rose Dell
- Maiya Bella Lyyn Derham
- Sandra Diaz
- David J Dolan
- Dr Lisa Taketa
- Dr Marlena Farm - Maui Psychology
- Dana Duncan
- Nathan Ehrlich
All providers in Makawao, HI · Community/Behavioral Health Agency in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.