Active NPI
Hawaii Wellness Clinic
Doing business as Hawaii Ketamine
- Behavioral Neurology & Neuropsychiatry Physician
- Honolulu, HI
National Provider Identifier
1922947696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- Legal business name
- HAWAII WELLNESS CLINIC
- Doing business as
- Hawaii Ketamine
- Practice address
- 1441 Kapiolani Blvd Ste 1002
Honolulu, HI 96814-4405 - Phone
- (808) 201-2343
- NPI assigned
- Mar 26, 2026
- Last updated
- Mar 26, 2026
- 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
- Philip Schlieder
- Title
- Head of Business Development
- Phone
- (808) 451-8763
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Occupational Medicine Physician | 2083X0100X | |||
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | Primary | ||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
1441 Kapiolani Blvd Ste 1002
Honolulu, HI 96814-4405
Mailing address
1441 Kapiolani Blvd Ste 1002
Honolulu, HI 96814-4405
Phone (808) 201-2343
Other practice location 1
392 Kapiolani St
Hilo, HI 96720-7309
Phone (808) 201-2343
Other practice location 2
75-5591 Palani Rd Ste 2002
Kailua Kona, HI 96740-3634
Phone (808) 201-2343
Other names 1
- Hawaii Ketamine
National Provider Directory
National Provider DirectoryLocations
392 Kapiolani St
Hilo, HI 96720
Phone (803) 935-0255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1922947696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD STE 1002",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144405",
"telephone_number": "808-201-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD STE 1002",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144405",
"telephone_number": "808-201-2343"
}
],
"practiceLocations": [
{
"address_1": "392 Kapiolani St",
"address_purpose": "LOCATION",
"city": "Hilo",
"state": "HI",
"postal_code": "967207309",
"country_code": "US",
"telephone_number": "808-201-2343",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75-5591 Palani Rd Ste 2002",
"address_purpose": "LOCATION",
"city": "Kailua Kona",
"state": "HI",
"postal_code": "967403634",
"country_code": "US",
"telephone_number": "808-201-2343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HAWAII WELLNESS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-26",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "SCHLIEDER",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "HEAD OF BUSINESS DEVELOPMENT",
"authorized_official_telephone_number": "808-451-8763"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hawaii Ketamine",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.