| Aloha Family Psychiatry | |
|
928 Nuuanu Ave Lowr Level Honolulu HI 96817-5193 | |
| (808) 664-1104 | |
| (866) 592-3149 |
| Full Name | Aloha Family Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 928 Nuuanu Ave Lowr Level, Honolulu, Hawaii |
| Authorized Official Name and Position | Lorilynn Laupola (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8086641104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aloha Family Psychiatry Po Box 60599 Ewa Beach HI 96706-7599 Ph: (808) 664-1104 | Aloha Family Psychiatry 928 Nuuanu Ave Lowr Level Honolulu HI 96817-5193 Ph: (808) 664-1104 |
| NPI Number | 1811531338 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 06/22/2024 |
| Certification Date | 06/22/2024 |
| Medicare PECOS PAC ID | 5698154052 |
|---|---|
| Medicare Enrollment ID | O20220615002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811531338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Soonja Tyrrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659937878 PECOS PAC ID: 1254667421 Enrollment ID: I20220615002708 |
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