Gabriel Davis
Individual provider Active NPI Marriage & Family Therapist · Makawao, HI
NPI 1780119685 · NPPES record last updated Sep 24, 2021
Key facts
- NPI
- 1780119685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 724 (HI)
- Practice address
- 81 Makawao Ave Ste 205
Makawao, HI 96768-8859 - Phone
- (808) 868-1208
- NPI assigned
- Apr 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17 Makai PL
Unit a
Kula, HI 96790-8518
17 Makai PL Unit a
Kula, HI 96790-8540
81 Makawao Ave
Suite 205
Makawao, HI 96768-8859
Phone (808) 868-1208
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251215000992 | HI | Practitioner - Marriage and Family Therapist | 4183019904 | Practice locations: Makawao, HI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carmen Cook Therapy, Inc. | Current |
Accepting new patients |
Locations
81 Makawao Ave
Ste 205
Makawao, HI 96768
Phone (808) 359-4448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 724 | HI | Yes |
Addresses
Primary practice location
81 Makawao Ave Ste 205
Makawao, HI 96768-8859
Mailing address
PO Box 27638
San Francisco, CA 94127-0638
Other providers in Makawao, HI
- Daly Resources LLC
- Merrily Divine Daly
- Sarala Dandekar
- Wiebke Daniels
- Michelle Davenport
- Danielle De Longe
- Malena Rose Dell
- Maiya Bella Lyyn Derham
- Sandra Diaz
- Deanna Dibiase
All providers in Makawao, HI · Marriage & Family Therapist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.