Outcomes Clinic Llc | |
1314 S King St Ste 1255 Honolulu HI 96814-1947 | |
(808) 798-8781 | |
(877) 308-8745 |
Full Name | Outcomes Clinic Llc |
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Speciality | Psychiatry & Neurology |
Location | 1314 S King St Ste 1255, Honolulu, Hawaii |
Authorized Official Name and Position | Trisa Marie Danz (SOLE OWNER) |
Authorized Official Contact | 8087988781 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Outcomes Clinic Llc 1314 S King St Ste 1255 Honolulu HI 96814-1947 Ph: (808) 744-2002 | Outcomes Clinic Llc 1314 S King St Ste 1255 Honolulu HI 96814-1947 Ph: (808) 798-8781 |
NPI Number | 1205459492 |
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Provider Enumeration Date | 05/21/2020 |
Last Update Date | 08/21/2023 |
Certification Date | 08/21/2023 |
Medicare PECOS PAC ID | 2163844051 |
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Medicare Enrollment ID | O20200623001331 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205459492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
Provider Name | Trisa Marie Danz |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1598109241 PECOS PAC ID: 3971847419 Enrollment ID: I20200623001396 |
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