| Brain Health Hawaii | |
|
4211 Waialae Ave Suite 207 Honolulu HI 96816-5319 | |
| (808) 542-7349 | |
| Not Available |
| Full Name | Brain Health Hawaii |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4211 Waialae Ave, Honolulu, Hawaii |
| Authorized Official Name and Position | Richelle Freitas (BUSINESS & FINANCE MANAGER) |
| Authorized Official Contact | 8085545688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Health Hawaii 4211 Waialae Ave Ste 203 Honolulu HI 96816-5312 Ph: (808) 554-5688 | Brain Health Hawaii 4211 Waialae Ave Suite 207 Honolulu HI 96816-5319 Ph: (808) 542-7349 |
| NPI Number | 1558509794 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/20/2022 |
| Medicare PECOS PAC ID | 5193864270 |
|---|---|
| Medicare Enrollment ID | O20091202000645 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558509794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD12987 (Hawaii) | Primary |
| Provider Name | Jason Keifer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528262391 PECOS PAC ID: 2668511734 Enrollment ID: I20091202000624 |
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