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2851 E Manoa Rd Suite 1-203 Honolulu HI 96822-1858 | |
| (808) 988-6168 | |
| (808) 955-8155 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2851 E Manoa Rd, Honolulu, Hawaii |
| Authorized Official Name and Position | Laura Marie Sturgis (OWNER) |
| Authorized Official Contact | 8089886168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2851 E Manoa Rd Suite 1-203 Honolulu HI 96822-1858 Ph: (808) 988-6168 | 2851 E Manoa Rd Suite 1-203 Honolulu HI 96822-1858 Ph: (808) 988-6168 |
| NPI Number | 1922201565 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 07/26/2013 |
| Medicare PECOS PAC ID | 9436392347 |
|---|---|
| Medicare Enrollment ID | O20130826000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922201565 | NPI | - | NPPES |
| 00A0032233 | Other | HI | HMSA |
| 25083201 | Medicaid | HI | |
| 0000032235 | Other | HI | HMSA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY-375 (Hawaii) | Primary |
| Provider Name | Laura M Sturgis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093839649 PECOS PAC ID: 0840213872 Enrollment ID: I20060105000307 |
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