Organization Active NPI

Hawaii Wellness Clinic

Doing business as Hawaii Ketamine

  • Behavioral Neurology & Neuropsychiatry Physician
  • Honolulu, HI
National Provider Identifier
1922947696
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.