Organization Active NPI

Elliott Plourde

  • Community/Behavioral Health Agency
  • Honolulu, HI
National Provider Identifier
1992023832
Registry record updated May 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELLIOTT PLOURDE
Practice address
1485 Linapuni St RM 105
Honolulu, HI 96819-3575
Phone
(808) 777-8291
NPI assigned
May 15, 2010
Last updated
May 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2010

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

Authorized official

Name
Mr. Elliott Plourde
Title
MST Therapist
Phone
(808) 777-8291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1485 Linapuni St RM 105
Honolulu, HI 96819-3575

Mailing address

1485 Linapuni St RM 105
Honolulu, HI 96819-3575
Phone (808) 777-8291

National Provider Directory

National Provider Directory
Tax ID family
Gayle Witham456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1273881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273881600000",
    "number": "1992023832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 LINAPUNI ST RM 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193575",
            "telephone_number": "808-777-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 LINAPUNI ST RM 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193575",
            "telephone_number": "808-777-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT PLOURDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-15",
        "last_updated": "2010-05-15",
        "status": "A",
        "authorized_official_last_name": "PLOURDE",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "MST THERAPIST",
        "authorized_official_telephone_number": "808-777-8291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 May 15, 2010; 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.