| Advanced Psychiatry And Addiction Medicine | |
|
98-1247 Kaahumanu St Ste 116 Aiea HI 96701-5300 | |
| (808) 762-0911 | |
| (808) 626-5161 |
| Full Name | Advanced Psychiatry And Addiction Medicine |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 98-1247 Kaahumanu St Ste 116, Aiea, Hawaii |
| Authorized Official Name and Position | Cindy Wu (CLINICAL MANAGER) |
| Authorized Official Contact | 8087280484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatry And Addiction Medicine 98-1247 Kaahumanu St Ste 116 Aiea HI 96701-5300 Ph: (808) 762-0911 | Advanced Psychiatry And Addiction Medicine 98-1247 Kaahumanu St Ste 116 Aiea HI 96701-5300 Ph: (808) 762-0911 |
| NPI Number | 1740857101 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 6406213834 |
|---|---|
| Medicare Enrollment ID | O20230531000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740857101 | NPI | - | NPPES |
| 001356 | Medicaid | HI |
| Provider Name | John Paul Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737481 PECOS PAC ID: 0840536447 Enrollment ID: I20190117002201 |
| Provider Name | Shelley Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164185237 PECOS PAC ID: 9739578360 Enrollment ID: I20221103001317 |
| Provider Name | Jennifer Carole Campbell |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1194906784 PECOS PAC ID: 9830264332 Enrollment ID: I20231002003172 |
Val J. Umphress, Ph.d., Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 98-211 Pali Momi St, Suite 810, Aiea, HI 96701 Phone: 808-488-9288 Fax: 808-488-9288 | |
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