| Deborah Chavez, Phd Mft | |
|
75-5744 Alii Dr Suite 247 Kailua Kona HI 96740-1784 | |
| (808) 322-9288 | |
| (855) 242-0396 |
| Full Name | Deborah Chavez, Phd Mft |
|---|---|
| Speciality | Psychologist |
| Location | 75-5744 Alii Dr, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Deborah M Chavez (PRESIDENT) |
| Authorized Official Contact | 8083229288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Chavez, Phd Mft Po Box 541 Kailua Kona HI 96745-0541 Ph: (808) 322-9288 | Deborah Chavez, Phd Mft 75-5744 Alii Dr Suite 247 Kailua Kona HI 96740-1784 Ph: (808) 322-9288 |
| NPI Number | 1699964825 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 01/05/2012 |
| Medicare PECOS PAC ID | 6608058656 |
|---|---|
| Medicare Enrollment ID | O20110311000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699964825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1174 (Hawaii) | Primary |
| 106H00000X | Marriage & Family Therapist | 110 (Hawaii) | Secondary |
| Provider Name | Deborah M Chavez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396806501 PECOS PAC ID: 9830383504 Enrollment ID: I20101027000775 |
Wallace R. Shrinski, Mft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-127 Lunapule Rd, 15b, Kailua Kona, HI 96740 Phone: 808-987-7306 | |
Catherine Smith Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-159 Lunapule Rd Ste 8, Kailua Kona, HI 96740 Phone: 808-896-4002 Fax: 888-883-7420 | |
Roger A Weiss, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 75-5744 Alii Dr, Kailua Kona, HI 96740 Phone: 808-329-7999 | |
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Dana Moody Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-127 Lunapule Rd, Suite 1a, Kailua Kona, HI 96740 Phone: 808-430-6159 | |
Sophia J. Wang, Phd Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 76-6225 Kuakini Hwy, Suite C-103, Kailua Kona, HI 96740 Phone: 808-329-7176 | |
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