| Mana Psychological Services Corp | |
|
1600 Kapiolani Blvd Ste 524 Honolulu HI 96814-3805 | |
| (808) 258-7271 | |
| Not Available |
| Full Name | Mana Psychological Services Corp |
|---|---|
| Speciality | Counselor |
| Location | 1600 Kapiolani Blvd Ste 524, Honolulu, Hawaii |
| Authorized Official Name and Position | Cristiane Caleffi (CEO) |
| Authorized Official Contact | 8082587271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mana Psychological Services Corp 1600 Kapiolani Blvd Ste 524 Honolulu HI 96814-3805 Ph: (808) 258-7271 | Mana Psychological Services Corp 1600 Kapiolani Blvd Ste 524 Honolulu HI 96814-3805 Ph: (808) 258-7271 |
| NPI Number | 1992169098 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 1557722923 |
|---|---|
| Medicare Enrollment ID | O20230801003319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992169098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Amanda Adams Courter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023451242 PECOS PAC ID: 4385981489 Enrollment ID: I20190128002743 |
| Provider Name | Christina Rumiko Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013508407 PECOS PAC ID: 0446626949 Enrollment ID: I20221025003079 |
| Provider Name | Glenda Faye Tali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417460635 PECOS PAC ID: 1557722964 Enrollment ID: I20230802000537 |
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