Maria Rosario Gervacio Mabini, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-19987 Issued in HI

Practice address

1833 Kalakaua Ave Ste 206
Honolulu, HI 96815-1500

Phone

(808) 393-8456

Fax

(808) 676-5890

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of Hawaii Department of HealthGroup PAC ID 5395648539, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• State of Hawaii, Department of Health

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1306062690
  Medicare reassignment Care Compare group NPD
• State of Hawaii Department of Health

  • Community/Behavioral Health Agency
  • Naalehu, HI
  • NPI 1174706063
  NPD
• State of Hawaii Department of Health

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1558223784
  NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1740337203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235227",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968233503",
            "telephone_number": "808-393-8456",
            "fax_number": "808-676-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 KALAKAUA AVE STE 206",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151500",
            "telephone_number": "808-393-8456",
            "fax_number": "808-676-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Hobron Ln Ste 311",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968151231",
            "country_code": "US",
            "telephone_number": "808-393-8456",
            "fax_number": "808-676-5890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3627 Kilauea Ave Rm 408",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968162317",
            "country_code": "US",
            "telephone_number": "808-233-3775",
            "fax_number": "808-233-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABINI",
        "first_name": "MARIA ROSARIO",
        "middle_name": "GERVACIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-19987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "571259 01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD-19987",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmine Kaleianuenue Maafala
• Lani E Maassen, PSY.D.
• Journey Mabalot, RBT
• Jessica Mabanag
• Roy Kazuo Mabe, DDS
• Gerrlyn Alexis Egalin Mabiog
• Brook Dawnyel Mabry, LMT 13362
• Mary Kathryn Ann Mabry, DC
• Jhoanna D Mabutas, MD
• Aleena Mabuti, BEHAVIOR TECHNICIAN

• Psychiatry Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.