Organization Active NPI

Dorene Toutant LLC

  • Community/Behavioral Health Agency
  • Wailuku, HI
National Provider Identifier
1932648474
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4199 Issued in HI
Legal business name
DORENE TOUTANT LLC
Practice address
50 Kaukini Loop
Wailuku, HI 96793-5755
Phone
(626) 755-8726
NPI assigned
Feb 16, 2017
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dorene Catherine Toutant, LCSWNPI 1114466190
Title
Owner
Phone
(626) 755-8726

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4199 HI Primary

Addresses

Primary practice location

50 Kaukini Loop
Wailuku, HI 96793-5755

Mailing address

1704 Wili PA Loop
272
Wailuku, HI 96793-1240
Phone (626) 755-8726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170505001704 HI Part B Supplier - Clinic/Group Practice 6305123092 Receives reassigned benefits from 1 practitioner
Practice locations: Kahului, HI

National Provider Directory

National Provider Directory

Locations

1704 Wili Pa Loop
Wailuku, HI 96793

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1932648474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 WILI PA LOOP",
            "address_2": "272",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931240",
            "telephone_number": "626-755-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 KAUKINI LOOP",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967935755",
            "telephone_number": "626-755-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORENE TOUTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "TOUTANT",
        "authorized_official_first_name": "DORENE",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-755-8726",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "4199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.