Active NPI
MCMD Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Honolulu, HI
National Provider Identifier
1922411016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- MD10845
- Legal business name
- MCMD INC
- Practice address
- 1221 Kapiolani Blvd Ste 830
830
Honolulu, HI 96814-3515 - Phone
- (808) 226-9997
- NPI assigned
- Jun 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Chang
- Title
- President
- Phone
- (808) 226-9997
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | MD10845 | HI | Primary |
Addresses
Primary practice location
1221 Kapiolani Blvd Ste 830
830
Honolulu, HI 96814-3515
Mailing address
1022 Prospect St
403A
Honolulu, HI 96822-3485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Honolulu, HI
- NPI 1265462220
-
- Psychiatry Physician
- Honolulu, HI
- NPI 1730122995
-
- Psychiatry Physician
- Honolulu, HI
- NPI 1538283098
-
- Psychologist
- Kailua, HI
- NPI 1487685251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401926400000",
"number": "1922411016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 PROSPECT ST",
"address_2": "403A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968223485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 KAPIOLANI BLVD STE 830",
"address_2": "830",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968143515",
"telephone_number": "808-226-9997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCMD INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-226-9997"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "HI",
"license": "MD10845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.