Kintsugi Center For Healing Llc - Medicare Mental Health Clinic in Aiea, HI

Kintsugi Center For Healing Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Aiea, Hawaii. The current practice location for Kintsugi Center For Healing Llc is 98-211 Pali Momi St Ste 600, Aiea, Hawaii. For appointments, you can reach them via phone at (808) 201-9059. The mailing address for Kintsugi Center For Healing Llc is 91-1014 Alepa St, Kapolei, Hawaii and phone number is (408) 614-4854.

Kintsugi Center For Healing Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245002336. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (808) 201-9059.

Contact Information

Kintsugi Center For Healing Llc
98-211 Pali Momi St Ste 600
Aiea
HI 96701-4337
(808) 201-9059
Not Available

Mental Health Clinic Profile

Full NameKintsugi Center For Healing Llc
SpecialityPsychologist
Location98-211 Pali Momi St Ste 600, Aiea, Hawaii
Authorized Official Name and PositionStephanie Phan (OWNER/CEO)
Authorized Official Contact4086144854
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kintsugi Center For Healing Llc
91-1014 Alepa St
Kapolei
HI 96707-1901

Ph: (408) 614-4854
Kintsugi Center For Healing Llc
98-211 Pali Momi St Ste 600
Aiea
HI 96701-4337

Ph: (808) 201-9059

NPI Details:

NPI Number1245002336
Provider Enumeration Date10/23/2023
Last Update Date10/23/2023
Certification Date10/23/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0941658520
Medicare Enrollment IDO20231120002132

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Medical Identifiers

Medical identifiers for Kintsugi Center For Healing Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245002336NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kintsugi Center For Healing Llc acts as a billing entity for following providers:
Provider NameStephanie Phan
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1114579687
PECOS PAC ID: 8224408745
Enrollment ID: I20221228000434

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Psychologist in Aiea, HI

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
Tui L. Ulu
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 98-211 Pali Momi St, Suite 600, Aiea, HI 96701
Phone: 808-282-7201    
John P. Neuhaus, M.d., Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 99-128 Aiea Heights Drive, #301, Aiea, HI 96701
Phone: 808-723-9344    Fax: 808-312-4637
Michele Wang, Md
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 99-128 Aiea Heights Dr Ste 109, Aiea, HI 96701
Phone: 424-234-3066    
Autism Behavior Consulting Group, Inc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 99-950 Iwaena St Fl 2, Aiea, HI 96701
Phone: 808-277-7736    Fax: 808-748-0202
Imua Health Group, Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 99-080 Kauhale St Ste C20, Aiea, HI 96701
Phone: 808-953-4682    
Living Well Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 98-084 Kamehameha Hwy, Suite 304, Aiea, HI 96701
Phone: 808-486-1020    

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