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HAWAII KAI PSCYHIATRIC SERVICES LLC NPI 1487803508


NPI Information

NPI: 1487803508
Provider Name: HAWAII KAI PSCYHIATRIC SERVICES, LLC
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Organization

Specialization: Geriatric Psychiatry

CLIA Number: 12D1010795

Address:
6600 KALANIANAOLE HWY
STE 225
HONOLULU, HI
ZIP 96825
Phone: (808) 342-8370
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HAWAII KAI PSCYHIATRIC SERVICES, LLC is a geriatric psychiatry psychiatry neurology in Honolulu, HI. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. HAWAII KAI PSCYHIATRIC SERVICES, LLC NPI is 1487803508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6600 KALANIANAOLE HWY
STE 225
HONOLULU, HI
ZIP 96825-273
Phone: (808) 342-8370
Fax: (808) 772-4424

The provider's authorized official is Vijaya V Vellanki .
The authorized official title is Md and has the following contact phone number (808) 342-8370.

The CLIA number assigned to this NPI record is 12D1010795 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2008 and was last updated on 9/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0805XPsychiatry & NeurologyGeriatric PsychiatryMD12326HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102117MEDICARE PINHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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