| Windward Behavioral Health | |
|
40 Aulike St Suite 411 Kailua HI 96734-2758 | |
| (808) 341-4328 | |
| (877) 348-8227 |
| Full Name | Windward Behavioral Health |
|---|---|
| Speciality | Psychologist |
| Location | 40 Aulike St, Kailua, Hawaii |
| Authorized Official Name and Position | Elizabeth Keolani Taitano (OWNER) |
| Authorized Official Contact | 8083414328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Windward Behavioral Health Po Box 884 Kailua HI 96734-0884 Ph: (808) 341-4328 | Windward Behavioral Health 40 Aulike St Suite 411 Kailua HI 96734-2758 Ph: (808) 341-4328 |
| NPI Number | 1851703607 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 02/16/2017 |
| Medicare PECOS PAC ID | 3971729948 |
|---|---|
| Medicare Enrollment ID | O20140728002086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851703607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth K Taitano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972934099 PECOS PAC ID: 6507082575 Enrollment ID: I20140728002182 |
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