Organization Active NPI

Woodside Mental Health LLC

  • Mental Health Counselor
  • Honolulu, HI
National Provider Identifier
1942915665
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WOODSIDE MENTAL HEALTH LLC
Practice address
364 Seaside Ave Apt 505
Honolulu, HI 96815-2503
Phone
(212) 810-9100
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
William Chum, LMHCNPI 1386122927
Title
Member
Phone
(212) 810-9100

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

364 Seaside Ave Apt 505
Honolulu, HI 96815-2503

Mailing address

364 Seaside Ave Apt 505
Honolulu, HI 96815-2503

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL woodsidementalhealth.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1942915665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 SEASIDE AVE APT 505",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 SEASIDE AVE APT 505",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152503",
            "telephone_number": "212-810-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSIDE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "CHUM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-810-9100",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "woodsidementalhealth.com",
            "affiliation": "N",
            "address_1": "364 Seaside Ave Apt 505",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968152503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 17, 2023; 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.