David Stein M D PH D Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD5728 Issued in HI

Legal business name

DAVID STEIN M D PH D INC

Doing business as

Chrysalis Institute

Practice address

1350 S King St Ste 325
Honolulu, HI 96814-2008

Phone

(808) 591-9116

Fax

(808) 591-9655

NPI assigned

Jul 20, 2006

Last updated

Feb 2, 2015By 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

Dr. David Stein, M.D., PH.D.NPI 1740386341

Title

President

Phone

(808) 591-9116

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Chrysalis Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 3

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.

• David Stein, M.D.

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1740386341
  Medicare reassignment NPD Authorized official
• Olaf Knut Gitter, PH.D.

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1225181332
  Medicare reassignment NPD
• Lisa Lorene Hartwell-Tindle, PSYD, RN

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1437255676
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1841210341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S KING ST STE 325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142008",
            "telephone_number": "808-591-9116",
            "fax_number": "808-591-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S KING ST STE 325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142008",
            "telephone_number": "808-591-9116",
            "fax_number": "808-591-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID STEIN M D PH D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-591-9116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD5728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "02161401",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02161401",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "00R0023920",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QHCP/MDX",
            "identifier": "MD5728-05",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chrysalis Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.