Community Care Services Provider Directory
Transcription
Community Care Services Provider Directory
51096 2013 HI021381_CAD_PRD_MLT State Approved 02142013 ©WellCare 2013 HI_01_13 Aloha! Here is your ‘Ohana CCS provider directory. It’s a listing of all of the behavioral health providers and pharmacies who make up our network. Each of these providers will make his or her own decisions about the care you need. As you look through this directory, you’ll see that we’ve listed all of the providers by island. Then we’ve broken them down into different categories based on the type of care or services they provide. We’ve also included: • The providers’ addresses and phone numbers • Symbols to tell you whether the provider is accepting new patients, board certified or wheelchair accessible Call Customer Service if you have any questions about this directory. We can help you find a provider. We can even help schedule an appointment for you. The tollfree number is 1-888-846-4262. You can reach us Monday–Friday, 7:45 a.m. to 5:30 p.m. HST. TTY/TDD users should call 1-877-247-6272. We wish you good health. Mahalo! Table of Contents East Hawaii FACILITIES HOSPITALS PROVIDERS 2 2 3 Kauai FACILITIES HOSPITALS PROVIDERS 6 6 6 Lanai FACILITIES HOSPITALS 9 9 Maui FACILITIES HOSPITALS PROVIDERS 10 10 11 Molokai FACILITIES HOSPITALS PROVIDERS 13 13 13 Oahu ANCILLARY FACILITIES HOSPITALS PROVIDERS 14 14 15 16 West Hawaii FACILITIES HOSPITALS PROVIDERS 32 32 32 Indexes Provider Index 35 ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). East Hawaii FACILITIES Behavioral Health Facility Community Mental Health Center Big Island Substance Abuse Council Provider ID: 494698 Big Island Substance Abuse Council 140 Puueo St Hilo, HI 96720 (808) 969-2001 East Hawaii Community Mental Health Cent Provider ID: 556576 East Hawaii Cmhc - Hilo Clinic 37 Kekaulike St Hilo, HI 96720 (808) 297-4430 Big Island Substance Abuse Council Provider ID: 494698 Big Island Substance Abuse Council 15 Kanoa St Hilo, HI 96720 (808) 933-9527 East Hawaii Community Mental Health Cent Provider ID: 558154 East Hawaii Cmhc Puna Clinic 3 Government Rd Bldg E Pahoa, HI 96778 (808) 965-2240 Big Island Substance Abuse Council Provider ID: 494698 Big Island Substance Abuse Council 152 Puueo St Hilo, HI 96720 (808) 969-4855 Indicates provider is not accepting new patients Federally Qualified Health Center Bay Clinic DBA Hilo Family Health Center Provider ID: 477698 Hilo Family Health Center 1178 Kinoole St Ste B Hilo, HI 96720 (808) 969-1427 Hamakua Health Center Inc Provider ID: 130948 Hamakua Health Center 45-549 Plumeria St Honokaa, HI 96727 (808) 775-7204 Rural Health Center State of Hawaii Doh Amhd Kau Hospital Provider ID: 506112 Provider ID: 480577 East Hawaii Cmhc Puna Clinic 1 Kamani St 3 Government Rd Bkdg E Pahala, HI 96777 Pahoa, HI 96778 (808) 932-4205 (808) 965-2240 HOSPITALS State of Hawaii Doh Amhd Critical Access Hospital Provider ID: 506112 East Hawaii Cmhc - Hilo Hale Hoola Hamakua Clinic Provider ID: 441438 37 Kekaulike St 45-547 Plumeria St Hilo, HI 96720 Honokaa, HI 96727 (808) 297-4430 (808) 775-7211 Indicates provider is wheelchair accessible 2013 Provider Directory 2 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). East Hawaii HOSPITALS - cont. Critical Access Hospital cont. Kau Hospital Provider ID: 441440 1 Kamani St Pahala, HI 96777 (808) 932-4200 Hospital Hilo Medical Center Provider ID: 201679 1190 Waianuenue Ave Hilo, HI 96720 (808) 974-4700 Anderson, Ula Provider ID: 700251 Ohana Counseling Services 56 Waianuenue Ave Ste 202 Hilo, HI 96720 (808) 935-4412 Delano, Caroline Provider ID: 692427 Caroline S Delano LCSW 12-7247 Moana Kai Pali St Pahoa, HI 96778 (808) 965-6226 Avery, Rebecca Provider ID: 473154 1856 Kinoole St Hilo, HI 96720 (808) 959-2258 Ingenito, Christina Provider ID: 564894 14-4330 Pahoa Kapoho Rd Pahoa, HI 96778 (808) 333-0462 Baldwin, Howard Provider ID: 487198 Light Worker Enterprises 213 Ululani St Hilo, HI 96720 PROVIDERS Behavioral Health Counseling (808) 961-2811 Barrilleaux, Coral Adamson, David Provider ID: 681373 Provider ID: 531995 Coral's 206 Kamehameha Ave 120 Keawe St Ste 204A Hilo, HI 96720 Hilo, HI 96720 (808) 933-9113 (808) 756-2129 Ambrosia, Linda Brittain, Matthew Provider ID: 684343 Provider ID: 483741 Linda Ambrosia LMFT Effective Change 120 Keawe St Ste 204 G 56 Waianuenue Ave Ste 207 Hilo, HI 96720 Hilo, HI 96720 (808) 935-0222 (808) 934-7566 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 3 Kondo, Glenn Provider ID: 476232 688 Kinoole St Ste 119B Hilo, HI 96720 (808) 935-5687 Lee, Priscilla Provider ID: 472848 Ke Alaula Inc 56 Waianuenue Ave Ste 208 Hilo, HI 96720 (808) 969-9211 Lokahi Treatment Centers Provider ID: 506670 Lokahi Treatment Centers 400 Hualani St Bldg 10 Ste 195B Hilo, HI 96720 (808) 969-9292 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). East Hawaii PROVIDERS - cont. Taylor, Janet Behavioral Health Counseling Provider ID: 521100 Jan Taylor LCSW - cont. 350 Lehua St Ste 3 Lokahi Treatment Centers Hilo, HI 96720 Provider ID: 506670 (808) 938-9315 Lokahi Treatment Centers Vickery, Paula 45-3544 Mamane St Provider ID: 606247 Honokaa, HI 96727 Paula Vickery APRN RX (808) 775-7707 1251 Kilauea Ave Ste 190C Novak, Allen Hilo, HI 96720 Provider ID: 480498 (808) 961-1000 122 Haili St Psychiatry Hilo, HI 96720 (808) 934-9071 Heaster, John Provider ID: 486654 Ridley, David John Heaster MD Provider ID: 520461 122 Haili St Ohana Counseling Services Hilo, HI 96720 56 Waianuenue Ave Ste 202 (808) 933-3555 Hilo, HI 96720 (808) 935-4412 Koyanagi, Chad Provider ID: 577204 Rosen, Eliot Hilo Medical Center Provider ID: 459581 45 Mohouli St Ste 101 13-3564 Moku St Hilo, HI 96720 Pahoa, HI 96778 (808) 932-4220 (808) 965-1279 Psychology Taylor, Janet Provider ID: 521100 Austin, Beatrice Jan Taylor LCSW Provider ID: 454856 13-931 Malama St 101 Aupuni St Ste 250 Pahoa, HI 96778 Hilo, HI 96720 (808) 938-9315 (808) 961-9287 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 4 Barthel III, Christopher Provider ID: 473149 46-4190 Old Mamalahoa Honokaa, HI 96727 (808) 775-9147 Bratton, Joseph Provider ID: 492969 101 Aupunit St Ste 216 Hilo, HI 96720 (808) 934-0544 Cooper, Kimberly Provider ID: 525141 Hawaii Family Health Inc 50 Ululani St Hilo, HI 96720 (808) 933-2399 Davis, David Provider ID: 507052 David P Davis, PHD, LLC 17-4011 Ahuahu Pl Ste A Mountain View, HI 96771 (808) 756-1863 Hansen, Bruce Provider ID: 487432 Kona Therapy Associates Inc 101 Aupuni St Ste 118 Hilo, HI 96720 (808) 961-5500 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). East Hawaii PROVIDERS - cont. Psychology - cont. Hashimoto, Don Provider ID: 473172 56 Waianuenue Ave Ste 201 Hilo, HI 96720 (808) 935-9016 Presbrey, Theresia Provider ID: 454575 101 Aupuni St Ste 239-240 Hilo, HI 96720 (808) 935-3395 Takamine, Sandra Provider ID: 493055 101 Aupuni St Ste 118 Hilo, HI 96720 (808) 963-5462 Kaneshiro, Lisa Provider ID: 455199 1266 Kamehameha Ave Ste B Takemoto Chock, Naomi Hilo, HI 96720 Provider ID: 466188 (808) 933-1313 1978 Komohana St Lee, Devon Hilo, HI 96720 Provider ID: 487755 (808) 959-4948 Ohana Counseling Services Substance Abuse 56 Waianuenue Ave Ste 202 Hilo, HI 96720 Lokahi Treatment Centers (808) 935-4412 Provider ID: 506670 Lokahi Treatment Centers Matsunami, Margaret 400 Hualani St Bldg 10 Ste Provider ID: 474153 195B 308 Kamehameha Hwy Hilo, HI 96720 Hilo, HI 96720 (808) 969-9292 (808) 969-3227 Lokahi Treatment Centers Matsunami, Margaret Provider ID: 506670 Provider ID: 474153 Lokahi Treatment Centers 308 Kamehameha Hwy Ste 45-3544 Mamane St 209 Honokaa, HI 96727 Hilo, HI 96720 (808) 775-7707 (808) 969-3227 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 5 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Kauai FACILITIES Clinic Kvmh DBA West Kauai Clinic-Waimea Provider ID: 514741 West Kauai Clinic - Waimea 4643-B Waimea Canyon Dr Waimea, HI 96796 (808) 338-8311 Community Mental Health Center Kauai Community Mental Health Center Provider ID: 556739 Kauai Community Health Center - Lih 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 274-3190 State of Hawaii Doh Amhd Provider ID: 506112 Kauai Community Health Center - Lih 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 274-3190 Indicates provider is not accepting new patients HOSPITALS Critical Access Hospital Kauai Veterans Memorial Hospital Provider ID: 441442 4643 Waimea Canyon Rd Waimea, HI 96796 (808) 338-0431 Samuel Mahelona Memorial Hospital Provider ID: 467436 4800 Kawaihau Rd Kapaa, HI 96746 (808) 822-3363 Hospital Wilcox Memorial Hospital Provider ID: 187419 3-3420 Kuhio Hwy Lihue, HI 96766 (800) 645-3055 Conley, Carol Provider ID: 689183 4442 Hardy St Ste 102 Lihue, HI 96766 (808) 635-2597 Demandel-Schaller, Laurette Provider ID: 541730 Dr Schaller 2975 Haleko Rd Ste 307 Lihue, HI 96766 (808) 826-1490 Foley, Michael Provider ID: 513906 Ho'Omaluhia 4374 Kukui Grove St Ste 102 Lihue, HI 96766 (808) 651-8269 Graham, Jere Provider ID: 593724 Jere M Graham 4566 C Ohia St PROVIDERS Kapaa, HI 96746 Behavioral Health Counseling (808) 651-6779 Conley, Carol Hayward, Julie Provider ID: 689183 Provider ID: 473187 4-1525 Kuhio Hwy Kauai Community Mental Kapaa, HI 96746 Health (808) 635-2597 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 274-3190 Indicates provider is wheelchair accessible 2013 Provider Directory 6 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Kauai PROVIDERS - cont. Stoll, Karin Behavioral Health Counseling Provider ID: 495552 3146 Akahi St - cont. Lihue, HI 96766 Jay, Martha (808) 632-2010 Provider ID: 608945 The Alcoholic Rehab Services 7198 Koolau Rd of Hawaii Kilauea, HI 96754 Provider ID: 531673 (808) 651-2499 The Alcoholic Rehabilitation Navarro, Mary Servic Provider ID: 700255 2970 Kele St Mary Navarro Counseling Lihue, HI 96766 Services (808) 245-8883 3092 Elua St Winnes, John Lihue, HI 96766 Provider ID: 471349 (808) 346-6784 2460 Oka St Ste 101A Navarro, Mary Koloa, HI 96756 Provider ID: 700255 (808) 828-2885 Mary Navarro Counseling Winnes, John Services Provider ID: 471349 3146 Akahi St 4374 Kukui Grove St Ste 102 Lihue, HI 96766 Lihue, HI 96766 (808) 346-6784 (808) 635-2494 Reid, Rebekah Wisiorowski, Stacey Provider ID: 620470 Provider ID: 669862 The Rebekah Reid Clinic 2970 Kele St Ste 207B 4-1038 Kuhio Hwy Lihue, HI 96766 Kapaa, HI 96746 (808) 639-9359 (808) 823-7007 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 7 Psychiatry Sampsell, Jb Michael Provider ID: 449359 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 274-3190 Skow, Stephanie Provider ID: 509471 Stephanie Skow, MD Inc 4334 Rice St Ste 203A Lihue, HI 96766 (808) 634-2376 Psychology Bailey, Fahy Provider ID: 491522 4-1435 Kuhio Hwy Ste 206 Kapaa, HI 96746 (808) 822-2447 Couturier, Alton Provider ID: 512053 Kauai Community Mental Health Center 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 274-3190 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Kauai PROVIDERS - cont. Psychology - cont. Hall, James Provider ID: 515742 Kauai Community Mental Health Center 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 241-3130 Hall, James Provider ID: 573416 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 241-3130 Horne, Robert Provider ID: 449857 3501 Rice St Ste 214 Lihue, HI 96766 (808) 245-6116 Marsh, Carol Provider ID: 453787 4100 Omao Koloa, HI 96756 (808) 742-9733 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 8 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Lanai FACILITIES Behavioral Health Facility Aloha House Inc Provider ID: 498863 Aloha House Inc 730 Lanai Ave Ste 102 Lanai City, HI 96763 (808) 565-9566 Community Mental Health Center Maui Community Mental Health Center Lana Provider ID: 564539 730 Lanai Ave Ste 6 Lanai City, HI 96763 (808) 565-6189 State of Hawaii Doh Amhd Provider ID: 506112 Maui Community Mental Health Center 730 Lanai Ave Ste 6 Lanai City, HI 96763 (808) 565-6189 Indicates provider is not accepting new patients Federally Qualified Health Center Lanai Community Health Center Provider ID: 509596 Lanai Community Health Center 478 Lauhala Pl Lanai City, HI 96763 (808) 565-6919 HOSPITALS Critical Access Hospital Lanai Community Hospital Provider ID: 441447 628 Seventh St Lanai City, HI 96763 (808) 565-6411 Indicates provider is wheelchair accessible 2013 Provider Directory 9 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Maui FACILITIES Behavioral Health Facility Aloha House Inc Provider ID: 498863 Aloha House Inc 1787 Wili PA LP Ste 7 Wailuku, HI 96793 (808) 249-2121 Aloha House Inc Provider ID: 498863 Aloha House Inc 220 Imi Kala Wailuku, HI 96793 (808) 242-1660 Aloha House Inc Provider ID: 498863 Aloha House Inc 250 Waiehu Beach Rd Wailuku, HI 96793 (808) 242-9733 Aloha House Inc Provider ID: 498863 Aloha House Inc 4593 Ike Dr Makawao, HI 96768 (808) 579-9584 Indicates provider is not accepting new patients Aloha House Inc Provider ID: 498863 Aloha House Inc 70 Miner Pl Makawao, HI 96768 (808) 573-7806 Imua Family Services Provider ID: 588968 95 Mahalani St Ste 19A Wailuku, HI 96793 (808) 244-7467 Maui Youth and Family Services Inc Provider ID: 493057 1931 Baldwin Ave Makawao, HI 96768 (808) 214-4417 Community Mental Health Center Maui Community Mental Health Center-Wail Provider ID: 556741 Maui Community Mental Health Center 121 Mahalani St Wailuku, HI 96793 (808) 984-2150 Indicates provider is wheelchair accessible 2013 Provider Directory 10 State of Hawaii Doh Amhd Provider ID: 506112 Maui Community Mental Health Center 121 Mahalani St Wailuku, HI 96793 (808) 984-2150 Federally Qualified Health Center Hana Health Provider ID: 477701 Hana Health 4590 Hana Hwy Hana, HI 96713 (808) 248-8294 HOSPITALS Critical Access Hospital Kula Hospital Provider ID: 441445 100 Keokea Pl Kula, HI 96790 (808) 878-1221 Kula Hospital Provider ID: 441445 204 Kula Hwy Kula, HI 96790 (808) 878-1221 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Maui HOSPITALS - cont. Hospital Maui Memorial Medical Provider ID: 135 221 Mahalani St Wailuku, HI 96793 (808) 244-9056 D'Avella, Maria Provider ID: 618840 Maria D'Avella 15 Puaina Pl Makawao, HI 96768 (808) 280-3431 Himes, Eleanor Provider ID: 496957 PROVIDERS 1356 Kilou Pl Behavioral Health Counseling Wailuku, HI 96793 (808) 244-5314 Aiyana, Kelley Holter, Teri Provider ID: 477056 Provider ID: 492481 2511 S Kiehi Rd Ste I 3660 Baldwin Ave Kihei, HI 96753 Makawao, HI 96768 (808) 281-8948 (808) 205-8055 Bartlemus, Heather Lowenthal, Dawn Provider ID: 650577 Provider ID: 513405 1826 Wili PA LP Ste 7 Transformational Counseling Wailuku, HI 96793 Inc (808) 244-8433 32 Makaio Pl Berman, Mitchell Haiku, HI 96708 Provider ID: 520633 (808) 575-7337 10825 Kula Hwy Neal, Patricia Kula, HI 96790 Provider ID: 473584 (808) 878-3414 55 Church St Ste 2 Campbell, Neal Wailuku, HI 96793 Provider ID: 484511 (808) 280-3848 135 S Wakea Ave Ste 203 Kahului, HI 96732 (808) 268-2315 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 11 Tester, Colleen Provider ID: 501353 Colleen M Tester LCSW 135 S Wakea Ave Ste 208 Kahului, HI 96732 (808) 871-1181 Theisen, Maribeth Provider ID: 476384 188 Walua Pl Kihei, HI 96753 (808) 269-2923 Welcome, Jennifer Provider ID: 605506 135 S Wakea Ave Ste 105 Kahului, HI 96732 (808) 344-8218 Wright, Lynda Provider ID: 459623 Follow Your Dreams Inc 1266 Lower Kimo Dr Kula, HI 96790 (808) 430-3176 Wright, Lynda Provider ID: 459623 Follow Your Dreams Inc 2200 Main St Ste 511 Wailuku, HI 96793 (808) 430-3176 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Maui PROVIDERS - cont. Psychiatry Andrus, Jason Provider ID: 499100 Maui Memorial Med Center 221 Mahalani St Wailuku, HI 96793 (808) 442-5473 McGrath, Suwan Provider ID: 651700 Maui Memorial Medical Center 221 Mahalani St Wailuku, HI 96793 (808) 442-5473 Roberts, Riggs Provider ID: 486980 Riggs Bailey Roberts MD 1883 Mill St Wailuku, HI 96793 (808) 242-9233 Psychology Bass, C P Provider ID: 450192 1129 L Main St Ste 305 Wailuku, HI 96793 (808) 242-7011 Indicates provider is not accepting new patients Breithaupt, Mark Provider ID: 488271 55 N Church St Ste 7 Wailuku, HI 96793 (808) 244-4037 Friedman, George Provider ID: 507741 George J Friedman PHD 33 N Market St Ste 205 Wailuku, HI 96793 (808) 244-0808 Substance Abuse Champ Clinic Inc Provider ID: 490709 270 Waiehu Beach Rd Ste 115 Wailuku, HI 96793 (808) 249-8784 Glen, Bruce Provider ID: 506821 Bruce Glen PHD 1940 Olinda Rd Makawao, HI 96768 (808) 572-6556 Jacobs, Karl Provider ID: 455035 1135 Makawao Ave Makawao, HI 96768 (808) 572-0631 Kennedy, James Provider ID: 494207 2200 Main St Ste 512 Wailuku, HI 96793 (808) 244-9559 Kosel, Sandra Provider ID: 520099 2847 Ohina St Kihei, HI 96753 (808) 875-1348 Indicates provider is wheelchair accessible 2013 Provider Directory 12 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Molokai FACILITIES Federally Qualified Health Center Molokai Community Health Center Provider ID: 483506 Molokai Community Health Center 30 Oki Pl Kaunakakai, HI 96748 (808) 553-5038 HOSPITALS Critical Access Hospital Psychology Seales, Allison Provider ID: 541832 Na Pu Uwai 20 A Ala Malama Ave Kaunakakai, HI 96748 (808) 560-3653 Seales, Allison Provider ID: 541832 Napuuwai 604 Maunaloa Hwy Kaunakakai, HI 96748 (808) 560-3653 Molokai General Hospital Provider ID: 441450 280 Home Olu Pl Kaunakakai, HI 96748 (808) 553-3122 PROVIDERS Behavioral Health Counseling Yamazaki-Gray, Leven Provider ID: 701162 Molokai Enterprises 206 A'Ahi Pl Kaunakakai, HI 96748 (808) 336-1151 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 13 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu ANCILLARY Clinic Laboratory Pathology Testing Ke Ola Mamo Provider ID: 627970 Aloha Laboratories Inc Ke Ola Mamo Provider ID: 494792 321 N Kuakini St Ste 308 Aloha Laboratories Inc Honolulu, HI 96814 2036 Hau St (808) 232-2222 Honolulu, HI 96819 (808) 842-6600 Kmcwc OB/GYN Clinic Provider ID: 557311 WGH Pathologists Inc Kmcwc OB/GYN Clinic Provider ID: 465581 1319 Punahou St 128 Lehua St Honolulu, HI 96826 Wahiawa, HI 96786 (808) 983-6000 (808) 621-4351 Kmcwc Peds Clinic FACILITIES Provider ID: 549353 Behavioral Health Facility Kmcwc Peds Clinic Big Island Substance Abuse 1319 Punahou St Council Honolulu, HI 96826 Provider ID: 494698 (808) 983-6000 Big Island Substance Abuse Community Mental Health Council Center 85-638 Farrington Hwy C/O Waianae Civic Center Central Oahu Cmhc Wahiawa Waianae, HI 96792 Clinic (808) 696-6775 Provider ID: 571501 Central Oahu Cmhc-Wahiawa Waianae Coast Community Clinic Mental Health Center 910 California Ave Provider ID: 485631 Wahiawa, HI 96786 86-226 Farrington Hwy (808) 621-8425 Waianae, HI 96792 (808) 696-4211 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 14 Diamond Head Community Mental Health Cen Provider ID: 556738 Diamond Head Cmch 3627 Kilauea Ave Ste 408 Honolulu, HI 96816 (808) 733-9260 Makaha Community Mental Health Center Provider ID: 556736 Makaha Mental Health Clinic 84-1150 Farrington Hwy Waianae, HI 96792 (808) 697-7880 State of Hawaii Doh Amhd Provider ID: 506112 Kalihi Palama Cmhc 1700 Lanakila Ave Honolulu, HI 96817 (808) 832-5800 State of Hawaii Doh Amhd Provider ID: 506112 Diamond Head Cmch 3627 Kilauea Ave Ste 408 Honolulu, HI 96816 (808) 733-9260 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu FACILITIES - cont. Community Mental Health Center - cont. State of Hawaii Doh Amhd Provider ID: 506112 Windward Oahu Cmhc Kaneohe Clinic 45-691 Keaahala Rd Kaneohe, HI 96744 (808) 233-3775 Federally Qualified Health Center Kalihi Palama Health Center Provider ID: 483644 Kalihi Palama Health Center 915 N King St Honolulu, HI 96817 (808) 848-1438 Kokua Kalihi Valley Provider ID: 493961 State of Hawaii Doh Amhd 2239 N School St Provider ID: 506112 Makaha Mental Health Clinic Honolulu, HI 96819 (808) 791-9400 84-1150 Farrington Hwy Waianae, HI 96792 Koolauloa Community (808) 697-7880 Health and Wellness Provider ID: 518444 State of Hawaii Doh Amhd Koolauloa Community Provider ID: 506112 Health Clinic Central Oahu Cmhc-Pear 56-119 Pualalea St 860 Fourth St Kahuku, HI 96731 Pearl City, HI 96782 (808) 293-9231 (808) 453-5950 Waikiki Health Center Windward Community Provider ID: 479070 Mental Health ClinicWaikiki Health Center Provider ID: 556737 277 Ohua Ave Windward Oahu Cmhc Honolulu, HI 96815 Kaneohe Clinic (808) 922-4787 45-691 Keaahala Rd Kaneohe, HI 96744 (808) 233-3775 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 15 Waimanalo Health Center Provider ID: 511385 Waimanalo Health Center 41-1347 Kalanianiole Hwy Waimanalo, HI 96795 (808) 259-7948 HOSPITALS Critical Access Hospital Kahuku Medical Center Provider ID: 406167 56-117 Pualalea St Kahuku, HI 96731 (808) 293-9221 Hospital Castle Medical Center Provider ID: 208978 640 Ulukahiki St Kailua, HI 96734 (808) 263-5500 Kahi Mohala Hospital Provider ID: 441441 91-2301 Old Fort Weaver Rd Ewa Beach, HI 96706 (808) 671-8511 Kapiolani Med Center For Women and Children Provider ID: 179624 1319 Punahou St Honolulu, HI 96826 (808) 983-6000 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu HOSPITALS - cont. Hospital - cont. Kuakini Medical Center Provider ID: 441444 Kuakini Medical Center 347 N Kuakini St Honolulu, HI 96817 (808) 536-2236 Pali Momi Medical Center Provider ID: 294631 98-1079 Moanalua Rd Aiea, HI 96701 (808) 486-6000 Straub Clinic & Hospital Provider ID: 204243 888 S King St Honolulu, HI 96813 (808) 522-4000 The Queens Medical Center Provider ID: 276212 The Queens Medical Center 1301 Punchbowl St Honolulu, HI 96813 (808) 538-9011 Wahiawa General Hospital Provider ID: 315652 Wahiawa General Hospital 128 Lehua St Wahiawa, HI 96786 (808) 621-8411 Indicates provider is not accepting new patients PROVIDERS Brito, Janet Behavioral Health Counseling Provider ID: 552003 1600 Kapiolani Blvd Ste 1306 Akana, Cheyenne Honolulu, HI 96814 Provider ID: 508517 (808) 949-7444 Cheyenne Akana LCSW Brown, Genotra 1019 Waimanu St Ste 211 Provider ID: 687281 Honolulu, HI 96814 Origens Counseling Services (808) 941-1800 LLC Austin, Kenneth 40 Aulike St Ste 411 Provider ID: 550019 Kailua, HI 96734 Videosynergy Studio II (808) 664-3874 1216 Young St Ste 305 Emiliano, Sherilynn Honolulu, HI 96814 Provider ID: 710895 (808) 591-9110 Hawaii Counseling and Baile, Betsy Education Center Provider ID: 456756 970 N Kalaheo Ave A213 319A N Cane St Kailua, HI 96734 Wahiawa, HI 96786 (808) 254-1484 (808) 621-1820 Feuer, Carrie Berkey, Trenda Provider ID: 530575 Provider ID: 472214 Carrie Feuer PHD, Inc Psychotherapy Works 305 Lala Pl 98-211 Pali Momi St Ste 707 Kailua, HI 96734 Aiea, HI 96701 (808) 261-0121 (808) 623-0097 Frauens, Anne Brandman, Jd Provider ID: 532776 Provider ID: 658300 Solutions For Change LLC 615 Piikoi St Ste 511 460 Ena Rd Ste 505 Honolulu, HI 96814 Honolulu, HI 96815 (808) 593-7703 (808) 545-5250 Indicates provider is wheelchair accessible 2013 Provider Directory 16 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Ho'Omau Ke Ola I Behavioral Health Counseling Provider ID: 529290 88-761 Farrington Hwy - cont. Waianae, HI 96792 Helping Hands Hawaii (808) 696-7931 Provider ID: 506421 Kaulia, Rhesa Helping Hands Hawaii Provider ID: 470262 2100 N Nimitz Hwy Grace Works, LLC Honolulu, HI 96819 94-1221 Kau Ka Blvd Ste B202a (808) 536-7234 Waipahu, HI 96797 Ho'Omau Ke Ola I (808) 389-9369 Provider ID: 529290 Kiehl, Julia Ho'Omau Ke Ola I Provider ID: 459134 84-1006 Farrington Hwy 319 A N Cane St Waianae, HI 96792 Wahiawa, HI 96786 (808) 697-1370 (808) 277-8499 Ho'Omau Ke Ola I Kiehl, Julia Provider ID: 529290 Provider ID: 459134 Ho'Omau Ke Ola 56-119 Pualalea St 84-742 Farrington Hwy Kahuku, HI 96731 Waianae, HI 96792 (808) 277-8499 (808) 696-4266 Kinimaka, Teri-Ann Ho'Omau Ke Ola I Provider ID: 557675 Provider ID: 529290 Aloha Psychotherapy LLC Ho'Omau Ke Ola 1636 Silva St 85-761 Farrington Hwy Honolulu, HI 96819 Waianae, HI 96792 (808) 392-4813 (808) 696-4266 Klein, Cynthia Provider ID: 673686 45-955 Kamehameha Hwy Kaneohe, HI 96744 (808) 358-9578 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 17 Ku Aloha Ola Mau Provider ID: 500043 Ku Aloha Ola Mau 1130 N Nimitz Hwy Ste C-302 Honolulu, HI 96817 (808) 538-0704 Lau, Earl Provider ID: 521190 Marriage and Family Therapeutic Center 1314 S King St Ste 862 Honolulu, HI 96814 (808) 391-2289 Manuwai, Joddy Provider ID: 516562 Ka Mauli Ola The Power of Healing T 122 Oneawa St Ste 203 Kailua, HI 96734 (808) 222-2700 McGue, David Provider ID: 685818 1750 Kalakaua Ave Apt 1912 Honolulu, HI 96826 (808) 381-0139 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. North Shore Mental Health Behavioral Health Counseling Inc Provider ID: 531116 - cont. Hawaii West Hospital Clinical North Shore Mental Health Servi Inc 302 C91-2141 Ft Weaver Rd Provider ID: 531116 Ewa Beach, HI 96706 North Shore Mental Health (808) 638-8700 Center North Shore Mental Health 1110 University Ave Inc Honolulu, HI 96826 Provider ID: 531116 (808) 638-8700 North Shore Mental Health North Shore Mental Health Center Inc 302 California Ave Ste 212 Provider ID: 531116 Wahiawa, HI 96786 North Shore Mental Health (808) 638-8700 Center North Shore Mental Health 1286 Queen Emma St Inc Honolulu, HI 96815 Provider ID: 531116 (808) 638-8700 North Shore Mental Health North Shore Mental Health Center Inc 46-001 Kamehameha Hwy Provider ID: 531116 Kaneohe, HI 96744 Aiea Medical Building (808) 638-8700 302 C91-2141 Ft Weaver Rd North Shore Mental Health Aiea, HI 96701 Inc (808) 638-8700 Provider ID: 531116 59-011 Kamehameha Hwy Haleiwa, HI 96712 (808) 638-8700 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 18 North Shore Mental Health Inc Provider ID: 531116 North Shore Mental Health Center 66-125 Kamehameha Hwy Haleiwa, HI 96712 (808) 638-8700 North Shore Mental Health Inc Provider ID: 531116 North Shore Mental Health Inc 84-1170 Farrington Hwy Waianae, HI 96792 (808) 695-5428 North Shore Mental Health Inc Provider ID: 531116 North Shore Mental Health Center 89-1170 Farrington Hwy Waianae, HI 96792 (808) 638-8700 North Shore Mental Health Inc Provider ID: 531116 North Shore Mental Health Center 91-2141 Ft Weaver Rd Ewa Beach, HI 96706 (808) 671-8761 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Perez, Karlene Behavioral Health Counseling Provider ID: 542660 Ld & Adhd Center of Hawaii - cont. 1110 University Ave Ste 504 North Shore Mental Health Honolulu, HI 96826 Inc (808) 955-4775 Provider ID: 531116 Po'Ailani Inc New Town Square Provider ID: 519749 98-1247 Kaahumanu St Po'Ailani Inc Aiea, HI 96701 553 Kawainui St (808) 638-8700 Kailua, HI 96734 North Shore Mental Health (808) 263-1065 Inc Po'Ailani Inc Provider ID: 531116 Provider ID: 519749 North Shore Mental Health Po'Ailani Inc Center 74 Kihapai St 99-128 Aiea Heights Dr Kailua, HI 96734 Aiea, HI 96701 (808) 261-8741 (808) 484-9359 Oesch, Shannon Provider ID: 702802 1188 Bishop St Ste 1106 Honolulu, HI 96813 (808) 457-6336 Oneal, Scott Provider ID: 527251 1481 S King St Ste 544 Honolulu, HI 96814 (808) 382-3881 Indicates provider is not accepting new patients Quinn, Cynthia Provider ID: 459575 Ola Hou Clinic 98-1247 Kaahumanu St Ste 223 Aiea, HI 96701 (808) 487-5433 Reed, Walter Provider ID: 501890 66-560 Kamehameha Hwy Ste 3B Haleiwa, HI 96712 (808) 852-9646 Indicates provider is wheelchair accessible 2013 Provider Directory 19 Robertson, Thomas Provider ID: 553156 Thomas Robertson LCSW 302 California Ave Ste 212 Wahiawa, HI 96786 (808) 386-4964 Robertson, Thomas Provider ID: 553156 Thomas Robertson LCSW 46-001 Kamehameha Hwy Ste 217 Kaneohe, HI 96744 (808) 386-4964 Robertson, Thomas Provider ID: 553156 Thomas Robertson 56-117 Pualalea St Kahuku, HI 96731 (808) 386-4964 Schmidt, Donna Provider ID: 576761 94-229 Waipahu Depot St Ste 404 Waipahu, HI 96797 (808) 676-1192 Silverman, Sara Provider ID: 541579 6600 Kalanianaole Hwy Ste 225 Honolulu, HI 96825 (808) 394-2800 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. The Alcoholic Rehab Services Behavioral Health Counseling of Hawaii Provider ID: 531673 - cont. Hina Mauka Spector, Alan 94-216 Farrington Hwy Ste Provider ID: 520297 333 Alan R Spector LCSW Waipahu, HI 96797 970 N Kalaheo Ave Ste C208 (808) 671-6900 Kailua, HI 96734 Wade, Darlene (808) 729-7737 Provider ID: 510258 Sugimoto, Anson Terence C Wade PHD Inc Provider ID: 545775 1188 Bishop St Ste 3202 Anson Sugimoto Mft MHC Honolulu, HI 96813 Csac (808) 545-7706 200 N Vineyard Blvd Ste 420 Watanabe, Karen Honolulu, HI 96817 Provider ID: 486904 (808) 351-1586 1481 S King St Ste 448 Tahauri, Erin Honolulu, HI 96814 Provider ID: 570977 (808) 949-7759 1110 University Ave Ste 504 Williams, Bridgit Honolulu, HI 96826 Provider ID: 579664 (808) 955-4775 4075D Guadalcanal Ave The Alcoholic Rehab Services Kapolei, HI 96707 of Hawaii (808) 479-7671 Provider ID: 531673 Wolf, Robert 45-845 Pookela St Provider ID: 468217 Kaneohe, HI 96744 1188 Bishop St Ste 1306 (808) 236-2600 Honolulu, HI 96813 (808) 587-0242 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 20 Wolf, Robert Provider ID: 468217 314 Uluniu St Kailua, HI 96734 (808) 722-0688 Neuropsychology Spina, Laila Provider ID: 636778 Pacific Neuropsychology Services 1188 Bishop St Ste 3509 Honolulu, HI 96813 (808) 599-7676 Psychiatry Adair-Leland, Jean Provider ID: 486602 Kapiolani Womens and Childrens 55 Merchant St 22nd Fl Honolulu, HI 96813 (808) 535-7700 Alicata, Daniel Provider ID: 477114 Ucera Dept of Psychiarty 1301 Punchbowl St Honolulu, HI 96813 (808) 586-5904 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychiatry - cont. Alicata, Daniel Provider ID: 477114 The Queens Medical Center 1374 Nuuanu Ave Honolulu, HI 96817 (808) 547-4401 Amjadi, Darius Provider ID: 459425 1380 Lusitana St Ste 511 Honolulu, HI 96813 (808) 593-4433 Andaya, Cheryl Provider ID: 486608 Kapiolani Womens and Childrens 55 Merchant St 22nd Fl Honolulu, HI 96813 (808) 535-7700 Baumel, Lee Provider ID: 459436 1188 Bishop St Honolulu, HI 96813 (808) 262-9931 Baumel, Lee Provider ID: 459436 314 Uluniu St Kailua, HI 96734 (808) 262-9931 Indicates provider is not accepting new patients Buffenstein, Alan Provider ID: 463747 1100 Ward Ave Ste 1070 Honolulu, HI 96814 (808) 548-5400 Dee, Peter Provider ID: 458020 1520 Liliha St Ste 501 Honolulu, HI 96817 (808) 531-0022 Bullen, Doris Provider ID: 476380 1150 S King St Ste 302 Honolulu, HI 96814 (808) 782-2097 Goto, Wayne Provider ID: 478440 1600 Kapiolani Blvd Ste 1306 Honolulu, HI 96814 (808) 949-7444 Charlton, Kimberly Provider ID: 539018 40 Aulike St Ste 411 Kailua, HI 96734 (808) 664-1104 Heintz, Perry Provider ID: 487060 Heintz Perry 1188 Bishop St Ste 3111 Honolulu, HI 96813 (808) 532-0660 Charlton, Kimberly Provider ID: 539018 640 Ulukahiki St Kaneohe, HI 96744 (808) 664-1104 Collis, Robert Provider ID: 503995 Robert Collis MD Inc 1188 Bishop St Ste 607 Honolulu, HI 96813 (808) 531-9099 Davidson, Raymond Provider ID: 691232 1100 Ward Ave Ste 1070 Honolulu, HI 96814 (808) 386-6851 Indicates provider is wheelchair accessible 2013 Provider Directory 21 Hyman, Robert Provider ID: 510953 Robert A Hyman MD LLC 1188 Bishop St Ste 3311 Honolulu, HI 96813 (808) 738-5601 Kai, Mutsuoki Provider ID: 519075 St Lukes Clinic Ala Moana 1441 Kapiolani Blvd Ste 2000 Honolulu, HI 96814 (808) 945-3719 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychiatry - cont. Kai, Mutsuoki Provider ID: 519075 Kalihi Palama Health Center 350 Sumner St Honolulu, HI 96817 (808) 531-6322 Kai, Mutsuoki Provider ID: 519075 Kalihi Palama Health Center 546 Kaaahi St Honolulu, HI 96817 (808) 791-6342 Kim, Oksuk Provider ID: 459557 1188 Bishop St Ste 3005 Honolulu, HI 96813 (808) 521-5990 Kim, Seungtai Provider ID: 458851 1188 Bishop St Ste 3005 Honolulu, HI 96813 (808) 286-4082 Kiss, Susan Provider ID: 462730 2875 S King St Ste 203 Honolulu, HI 96826 (808) 944-6900 Indicates provider is not accepting new patients Komeya, Michael Provider ID: 537565 550 Halekauwila St Ste 307 Honolulu, HI 96813 (808) 545-5902 Kracher, Stacy Provider ID: 658715 Helping Hands Hawaii 2100 N. Nimitz Hwy Honolulu, HI 96819 (808) 440-3882 Luke, Kenneth Provider ID: 480495 Psychiatric Associates LTD 600 Kapiolani Blvd Ste 402 Honolulu, HI 96813 (808) 537-2665 Maciejewski, Simone Provider ID: 486745 Kapiolani Womens and Childrens 55 Merchant St 22nd Fl Honolulu, HI 96813 (808) 535-7600 Kuszmider, Rudolf Provider ID: 491396 438 Hobron Ln Ste 307 Eaton Mikami, Susan Provider ID: 691723 Square Kapiolani Medical Specialists Honolulu, HI 96815 1319 Punahou St Ste 950 (808) 218-1284 Honolulu, HI 96826 Lind, Dennis (808) 983-6000 Provider ID: 465223 1600 Kapiolani Blvd Ste 1306 Murphy, Alvin Provider ID: 584472 Honolulu, HI 96814 1110 University Ave Ste 403 (808) 949-7444 Honolulu, HI 96826 Luk, Selene (808) 223-6528 Provider ID: 537652 Kapiolani Medical Specialists Okumoto, Clifford Provider ID: 461574 1319 Punahou St Ste 950 615 Piikoi St Ste 1603 Honolulu, HI 96826 Honolulu, HI 96814 (808) 983-6100 (808) 596-8778 Indicates provider is wheelchair accessible 2013 Provider Directory 22 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychiatry - cont. Patel, Sonia Provider ID: 486724 3615 Harding Ave Ste 510 Honolulu, HI 96816 (808) 737-4400 Peck, Joel Provider ID: 474552 590 Farrington Hwy Ste 210-307 Kapolei, HI 96707 (808) 485-5855 Peck, Joel Provider ID: 474552 Joel Peck MD 99-115 Aiea Heights Dr Ste 219A Aiea, HI 96701 (808) 485-5855 Peck, Joel Provider ID: 474552 99-128 Aiea Heights Dr Ste 202 Aiea, HI 96701 (808) 485-5855 Pien, Ethan Provider ID: 504752 Pien Ethan C T MD 1010 S King St Ste 111 Honolulu, HI 96814 (808) 597-8765 Indicates provider is not accepting new patients Rudlowski, Peter Provider ID: 450104 438 Hobron Ln Honolulu, HI 96815 (808) 947-2224 Sliwowski, Donna Provider ID: 504373 928 Nuuanu Ave Ste 112 Honolulu, HI 96817 (808) 538-2609 Sharipova, Elena Provider ID: 511119 Elena Sharipova MD 302 California Ave Ste 212 Wahiawa, HI 96786 (808) 772-6453 Smith, Douglas Provider ID: 445538 1188 Bishop St Ste 3007 Honolulu, HI 96813 (808) 599-3922 Sharipova, Elena Provider ID: 511119 Elena Sharipova MD 91-2141 Fort Weaver Rd Ste 185 Ewa Beach, HI 96706 (808) 772-6453 Sharipova, Elena Provider ID: 511119 Elena Sharipova MD 99-128 Aiea Heights Dr Aiea, HI 96701 (808) 772-6453 Shimizu, Annette Provider ID: 486812 Straub Clinic & Hospital 1100 Ward Ave Ste 840 Honolulu, HI 96814 (808) 522-4521 Indicates provider is wheelchair accessible 2013 Provider Directory 23 Tanahashi, Dan Provider ID: 501576 425 South St Ste 3801 Honolulu, HI 96813 (808) 345-7778 Tom, David Provider ID: 458254 Straub Clinic & Hospital 1100 Ward Ave Ste 840 Honolulu, HI 96814 (808) 522-4521 Tran, Phuong Thuy Provider ID: 486843 Kapiolani Womens and Childrens 55 Merchant St 22nd Fl Honolulu, HI 96813 (808) 535-7600 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychiatry - cont. Trockman, Gordon Provider ID: 465040 354 Uluniu St Ste 410 Kailua, HI 96734 (808) 263-9488 Varady, Lothar Provider ID: 459609 642 Ulukahiki St Kailua, HI 96734 (808) 735-0665 Vellanki, Vijaya Provider ID: 458256 Straub Clinic & Hospital 1100 Ward Ave Ste 840 Honolulu, HI 96814 (808) 522-4521 Wai, Angela Provider ID: 445619 99-115 Aiea Heights Dr Ste 207 Aiea, HI 96701 (808) 486-9229 Wu, Edward Provider ID: 445509 46-001 Kamehameha Hwy Ste 304 Kaneohe, HI 96744 (808) 235-8546 Indicates provider is not accepting new patients Yuen, Greg Provider ID: 480488 1188 Bishop St Ste 806 Honolulu, HI 96813 (808) 599-5050 Zen, Mark Provider ID: 505008 Mark K K Zen. MD 1345 S Beretania St Ste 302 Honolulu, HI 96814 (808) 591-6599 Psychology Barham, Martha Provider ID: 510257 Martha Barham R N PHD 615 Piikoi St Ste 2002 Honolulu, HI 96814 (808) 591-6296 Bautista-Torres, Joanne Provider ID: 710653 Joanne Bautista Torres PsyD LLC 119 Merchant St Ste 605 Honolulu, HI 96813 (808) 646-1322 Adam-Terem, Rosemary Provider ID: 459420 1833 Kalakaua Ave Ste 800 Honolulu, HI 96815 (808) 955-7372 Beardsley, Rebecca Provider ID: 505005 1833 Kalakaua Ave Ste 503 Honolulu, HI 96815 (808) 222-6435 Akamine, Hale S Provider ID: 507390 Family Ministries Center 1585 Kapiolani Blvd Ste 940 Honolulu, HI 96814 (808) 592-2500 Beardsley, Rebecca Provider ID: 505005 845 22nd Ave Honolulu, HI 96816 (808) 222-6435 Armstrong, Amanda Provider ID: 460342 1600 Kapiolani Blvd Ste 1650 Honolulu, HI 96814 (808) 951-5540 Indicates provider is wheelchair accessible 2013 Provider Directory 24 Beck, Henry Provider ID: 652022 Henry Beck PsyD LLC 928 Nuuanu Ave Ste LL2 Honolulu, HI 96817 (808) 538-2800 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychology - cont. Bernisto, Conrad Provider ID: 704315 94-141 Mokao St Waipahu, HI 96797 (808) 282-1907 Beuret, Terry Provider ID: 493634 970 N Kalaheo Ave Ste A314 Kailua, HI 96734 (808) 389-0188 Bressem, Michael Provider ID: 450195 Ola Hou Clinic 98-1247 Kaahumanu St Ste 223 Aiea, HI 96701 (808) 487-5433 Bridge, Michael Provider ID: 446116 1188 Bishop St Ste 2605 Honolulu, HI 96813 (808) 526-2605 Bianchi, F Peter Provider ID: 464553 1600 Kapiolani Blvd Ste 1306 Honolulu, HI 96814 (808) 949-7444 Burnett, Donna Provider ID: 499765 Donna E Burnett PsyD 415 Ilimano St Kailua, HI 96734 (808) 254-8080 Boggs, Minnie Provider ID: 506920 Minnie E. Boggs PHD 3266 Alani Dr Honolulu, HI 96822 (808) 988-0000 Burnett, Donna Provider ID: 499765 45-955 Kamehameha Hwy Ste 202 Kaneohe, HI 96744 (808) 254-8080 Brennan, Jerry Provider ID: 450193 651 Kaumakani St Honolulu, HI 96825 (808) 538-0343 Canubida, Nancy Provider ID: 584235 91-1121 Kiwi St Ewa Beach, HI 96706 (808) 689-8758 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 25 Carr, Linda Provider ID: 535189 3705 Waialae Ave Ste 201 Honolulu, HI 96816 (808) 735-2228 Choy, Stephen Provider ID: 455028 1314 S King St Ste 720 Honolulu, HI 96814 (808) 593-8484 Cynn, Virginia Provider ID: 475540 1221 Kapiolani Blvd Ste 830 Honolulu, HI 96814 (808) 593-9222 Donkervoet, John Provider ID: 518399 John C Donkervoet PHD LLC 46-001 Kamehameha Hwy Ste 409 Kaneohe, HI 96744 (808) 371-5539 Eagan, Amy Provider ID: 487079 Amy Eagan PHD 328 Uluniu St Ste 203 Kailua, HI 96734 (808) 262-7799 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychology - cont. Eastwood, Pratibha Provider ID: 457911 2507 Rainbow Dr Honolulu, HI 96822 (808) 595-4673 Edwards, Laurie Provider ID: 582173 40 Aulike St Ste 411 Kailua, HI 96734 (808) 772-0423 Elting, Dirk Provider ID: 552756 Acceptance and Change Psychotherapy 46 001 Kamehameha Hwy Ste 409 Kaneohe, HI 96744 (808) 236-3222 Fisher, Jane Provider ID: 459065 1188 Bishop St Ste 2302 Honolulu, HI 96813 (808) 524-3398 Fitzgerald, Janet Provider ID: 515064 1615 Mahani Loop Honolulu, HI 96819 (808) 386-8630 Indicates provider is not accepting new patients Garrett, Catherine Provider ID: 455173 98-211 Pali Momi St Ste 810 Aiea, HI 96701 (808) 485-2800 Glass, Thomas Provider ID: 461856 615 Piikoi St Ste 1603 Honolulu, HI 96814 (808) 596-8778 Getschmann-Padua, Becky Provider ID: 473192 1418 Akupa St Kailua, HI 96734 (808) 261-5517 Goya, Lynn Provider ID: 563726 Psychological Services LLC 1833 Kalakaua Ave Ste 800 Honolulu, HI 96815 (808) 955-7372 Gino, Antonio Provider ID: 514309 Gino Clinic 1154 Fort St Mall Ste 206 Honolulu, HI 96813 (808) 528-1184 Gitter, Olaf Provider ID: 473936 Chrysalis Institute 1350 S King St Ste 325 Honolulu, HI 96814 (808) 591-9116 Gitter, Olaf Provider ID: 473936 Chrysalis Institute 615 Piikoi St Ste 1603 Honolulu, HI 96814 (808) 596-8778 Indicates provider is wheelchair accessible 2013 Provider Directory 26 Granzotto, Daniela Provider ID: 458864 319 A Cane St Wahiawa, HI 96786 (808) 265-5791 Guay, Peter Provider ID: 465462 3615 Harding Ave Ste 304 Honolulu, HI 96816 (808) 732-5633 Guo, John Provider ID: 458133 Straub Clinic & Hospital 1100 Ward Ave Ste 840 Honolulu, HI 96814 (808) 522-4521 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychology - cont. Harding, Charles Provider ID: 611748 Hawaii Pacific Neuroscience 642 Ulukahiki St Ste 300 Kailua, HI 96734 (808) 261-4476 Hashimoto, Scott Provider ID: 453697 1188 Bishop St Ste 2801 Honolulu, HI 96813 (808) 429-4432 Horn, Mary Provider ID: 459487 45-955 Kamehameha Hwy Ste 306 Kaneohe, HI 96744 (808) 247-2961 Hosenfeld, Charlene Provider ID: 458833 328 Uluniu St Ste 207 Kailua, HI 96734 (808) 261-4305 Huynh, Ann Provider ID: 510783 Healthy Horizon LLC 1441 Kapiolani Blvd Honolulu, HI 96814 (808) 728-2680 Indicates provider is not accepting new patients Ignacio, Lawrie Provider ID: 709938 Lawrie A Ignacio PsyD LLC 119 Merchant St Ste 605 Honolulu, HI 96813 (808) 286-2112 Kim, Tammie Provider ID: 493934 84-1170 Farrington Hwy Ste B-1 Waianae, HI 96792 (808) 392-6093 Johnson, L Provider ID: 488822 Hawaii Center For Psychology 1001 Bishop St Ste 925 Honolulu, HI 96813 (808) 538-7793 Kiyota, Heide Provider ID: 456658 319A N Cane St Wahiawa, HI 96786 (808) 621-1820 Kaplan, Aaron Provider ID: 459498 438 Hobron Ln Ste 315 Honolulu, HI 96815 (808) 947-2205 Kariel, Sasha Provider ID: 459499 319A N Cane St Wahiawa, HI 96786 (808) 621-1820 Kim, Tammie Provider ID: 493934 4747 Kilauea Ave Ste 108 Honolulu, HI 96816 (808) 392-6093 Indicates provider is wheelchair accessible 2013 Provider Directory 27 Kou, Michael Provider ID: 450118 Ola Hou Clinic 98-1247 Kaahumanu St Ste Aiea, HI 96701 (808) 487-5433 Kravetz, Richard Provider ID: 552977 Alakai Na Keiki 1100 Alakea St Ste 900 Honolulu, HI 96813 (808) 523-7771 Kravetz, Richard Provider ID: 552977 Alakai Na Keiki Inc 45-1144 Kamehameha Hwy Ste 301B Kaneohe, HI 96744 (808) 523-7771 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychology - cont. Liu-Tom, Hsin-Tine Provider ID: 473971 1188 Bishop St Ste 1607 Honolulu, HI 96813 (808) 781-5607 Kravetz, Richard Provider ID: 552977 Alakai Na Keiki Inc 84-1170 Farrington Hwy Ste 7 Loos, Warren Provider ID: 488848 Waianae, HI 96792 1188 Bishop St Ste 1208 (808) 523-7771 Honolulu, HI 96813 Kravetz, Richard (808) 734-2897 Provider ID: 552977 Loos, Warren Alakai Na Keiki Inc Provider ID: 488848 98-211 Pali Momi St Ste 610 500 Ala Moana Blvd 1 Aiea, HI 96701 Waterfront Plaza Ste 302 (808) 523-7771 Honolulu, HI 96813 Lau, Lavay (808) 528-3657 Provider ID: 489221 Lopez, Carolyn 1600 Kapiolani Blvd Ste 620 Provider ID: 629521 Honolulu, HI 96814 401 Kamakea St Ste 405 (808) 942-5778 Honolulu, HI 96814 Levister, Raymond (808) 341-4338 Provider ID: 605850 Lum, Kristina 210 Ward Ave Ste 124 Provider ID: 548766 Honolulu, HI 96814 Lum (808) 489-5558 1188 Bishop St Ste 1810 Lindsay, Melissa Honolulu, HI 96813 Provider ID: 477442 (808) 235-3121 981 Aalapapa Dr Lunnon, Carrie Kailua, HI 96734 Provider ID: 459569 (808) 261-3311 145 Lehua St Unit C Wahiawa, HI 96786 (808) 375-3213 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 28 Marvit, Roben Provider ID: 498036 Roben A Marrit, PHD 929 Pueo St Honolulu, HI 96816 (808) 381-3326 McCallum, Kenneth Provider ID: 444407 1188 Bishop St Ste 3512 Honolulu, HI 96813 (808) 590-1478 McKim, Carol Provider ID: 459539 1833 Kalakaua Ave Ste 908 Honolulu, HI 96815 (808) 955-7778 McLaughlin, Tina Provider ID: 537292 Tina McLaughlin PsyD 606 Coral St Honolulu, HI 96813 (808) 371-7259 Mirin, Azita Provider ID: 694368 55 Merchant St 22nd Fl Honolulu, HI 96813 (808) 535-7600 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychology - cont. Misailidis, Soojean Provider ID: 582098 Kapiolani Medical Specialist 1319 Punahou St Honolulu, HI 96826 (808) 983-6100 Miyamoto, Robin Provider ID: 459541 I Ola Lahui Inc 677 Ala Moana Blvd Ste 904 Honolulu, HI 96813 (808) 525-5625 Myers, Mary Provider ID: 445623 1188 Bishop St Ste 3206 Honolulu, HI 96813 (808) 550-0991 Needels, Terri Provider ID: 471587 615 Piikoi Ste 1603 Honolulu, HI 96814 (808) 596-8778 Orimoto, Lisa Provider ID: 464493 98-211 Pali Momi Ste 635 Aiea, HI 96701 (808) 554-5901 Indicates provider is not accepting new patients Ozoa, Claudette Provider ID: 488814 1188 Bishop St Ste 1208 Honolulu, HI 96813 (808) 734-2897 Pangilinan, Renee Provider ID: 571472 Clinical and Counseling Psychology 2525 S King St Ste 311 Honolulu, HI 96826 (808) 949-1555 Pedro, Don Provider ID: 713715 Hawaii Pacific Neuroscience 642 Ulukahiki St Ste 300 Kailua, HI 96734 (808) 261-4476 Price, Alan Provider ID: 520274 98-211 Pali Momi St Ste 707 Aiea, HI 96701 (808) 351-1639 Reed, Daniel Provider ID: 519280 1188 Bishop St Ste 2302 Honolulu, HI 96813 (808) 536-3600 Indicates provider is wheelchair accessible 2013 Provider Directory 29 Rezentes III, William Provider ID: 509477 William C. Rezentes III, PHD 1733 Akaakoa St Kailua, HI 96734 (808) 262-4994 Rhoades Jr, George Provider ID: 461647 Ola Hou Clinic 98-1247 Kaahumanu St Ste 223 Aiea, HI 96701 (808) 487-5433 Robison, Bradley Provider ID: 496926 Ola Hou Clinic 98-1247 Kaahumanu St Ste 223 Aiea, HI 96701 (808) 487-5433 Roscoe, David Provider ID: 474164 45-1144 Kamehameha Hwy Ste 402 Kaneohe, HI 96744 (808) 234-1119 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychology - cont. Schoenheimer, Joyce Provider ID: 515459 Counseling & Spiritual Care Center 1020 S Beretania St Honolulu, HI 96814 (808) 545-2740 Shimabukuro, Joann Provider ID: 687082 Hawaii Pacific Neuroscience LLC 642 Ulukahiki St Ste 300 Kailua, HI 96734 (808) 261-4476 Sine, Larry Provider ID: 459169 1188 Bishop St Ste 2705 Honolulu, HI 96813 (808) 531-1232 Sofra Weiss, Xanya Provider ID: 503932 Creative Arts Center 7773 Waikapu Loop Honolulu, HI 96825 (808) 222-2664 Strauss, Marilyn Provider ID: 483306 735 Bishop St Ste 302 Honolulu, HI 96813 (808) 537-2869 Indicates provider is not accepting new patients Sturgis, Laura Provider ID: 474511 Transformational Living Center 2851 E Manoa Rd Ste 1-203 Honolulu, HI 96822 (808) 988-6168 Sturgis, Laura Provider ID: 474511 Transformational Living Center 85-671 Farrington Hwy Waianae, HI 96792 (808) 988-6168 Takahashi, Jennifer Provider ID: 584215 1215 Center St Ste 203 Honolulu, HI 96816 (808) 271-0200 Takushi-Isara, Sherrie Provider ID: 465029 98-211 Palimomi Ste 606 Aiea, HI 96701 (808) 484-2181 Takushi-Isara, Sherrie Provider ID: 539307 Kapiolani Womens and Childrens 55 Merchant St 22nd Fl Honolulu, HI 96813 (808) 535-7600 Indicates provider is wheelchair accessible 2013 Provider Directory 30 Tremayne, Michele Provider ID: 465291 98-211 Pali Momi St Ste 635 Aiea, HI 96701 (808) 497-5996 Tsukamoto, Donna Provider ID: 473231 600 Kapiolani Blvd Ste 408 Honolulu, HI 96813 (808) 540-1941 Tsushima, William Provider ID: 458255 Straub Clinic & Hospital 1100 Ward Ave Ste 840 Honolulu, HI 96814 (808) 522-4521 Twentyman, Craig Provider ID: 486591 Aloha Psychological Services 100 N Beretania St Ste 208 Honolulu, HI 96817 (808) 591-2345 Tyler, Carol Provider ID: 453782 Honolulu Family Therapy Center Inc 1017 Pawaa Ln Ste C Honolulu, HI 96826 (808) 941-5869 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). Oahu PROVIDERS - cont. Psychology - cont. Unkrur, Paul Provider ID: 478866 401 Kamakee St Ste 405 Honolulu, HI 96814 (808) 591-0281 Vogelmann Sine, Silke Provider ID: 459148 1188 Bishop St Ste 2705 Honolulu, HI 96813 (808) 531-1232 Wilson, Cyma Provider ID: 623477 Cyma B Wilson PsyD 438 Hobron Ln Ste 315 Honolulu, HI 96815 (808) 256-6518 Witt, Katherine Provider ID: 519090 45-955 Kamehameha Hwy Ste 402 Kaneohe, HI 96744 (808) 497-6456 Welch, Rob Provider ID: 459616 615 Piikoi St Ste 1603 Honolulu, HI 96814 (808) 596-8778 Woliver, Robert Provider ID: 458925 46-001 Kamehameha Hwy Ste 410 Kaneohe, HI 96744 (808) 235-5577 Welter, Thomas Provider ID: 618838 Therapy4positivechanges 615 Piikoi St Ste 511 Honolulu, HI 96814 (808) 728-8533 Wood, Carol Provider ID: 463044 615 Piikoi St Ste 1409 Honolulu, HI 96814 (808) 596-8038 Wetzel, Rob Provider ID: 465372 1600 Kapiolani Blvd Ste 1306 Honolulu, HI 96814 (808) 949-7444 Indicates provider is not accepting new patients Substance Abuse Champ Clinic Inc Provider ID: 490709 173 S Kukui St Honolulu, HI 96813 (808) 426-4515 Yoshino, Jason Provider ID: 591067 1360 S Beretania St Ste 218 Honolulu, HI 96814 (808) 664-1104 Indicates provider is wheelchair accessible 2013 Provider Directory 31 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). West Hawaii FACILITIES Behavioral Health Facility Federally Qualified Health Center West Hawaii Community Big Island Substance Abuse Health Center Council Provider ID: 493039 Provider ID: 494698 64-1040 Mamalahoa Hwy Ste West Hawaii Community Health Center 101 75-5751 Kuakini Hwy Ste 101A Kamuela, HI 96743 Kailua Kona, HI 96740 (808) 887-2175 (808) 326-5629 Community Mental Health HOSPITALS Center Critical Access Hospital State of Hawaii Doh Amhd Kohala Hospital Provider ID: 506112 Provider ID: 338862 West Hawaii Community Mental Health 54-383 Hospital Rd 79-1020 Haukapila St Kapaau, HI 96755 Kealakekua, HI 96750 (808) 889-6211 (808) 322-4818 Hospital West Hawaii Community Kona Community Hospital Mental Health Cent Provider ID: 441443 Provider ID: 557523 79-1019 Haukapila St West Hawaii Community Kealakekua, HI 96750 Mental Health (808) 322-9311 79-1020 Haukapila St Kealakekua, HI 96750 PROVIDERS (808) 322-4818 Behavioral Health Counseling Cassteel, Sindona Provider ID: 614188 68-1776 Niu Haohao Pl Waikoloa, HI 96738 (808) 883-8363 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 32 Donovan, Kelly Provider ID: 503855 75 5591 Palani Rd Ste 3006 Kailua Kona, HI 96740 (808) 938-4162 Donovan, Kelly Provider ID: 503855 75-5751 Kuakini Hsy Ste 101 Kailua Kona, HI 96740 (808) 938-4162 Edwards, Annabel Provider ID: 699965 Annabel R Edwards Mft 87-3190 Ea Rd Captain Cook, HI 96704 (808) 756-1372 Koneck, Carolyn Provider ID: 490972 75-5995 Kuakini Hwy Ste 425 Kailua Kona, HI 96740 (808) 329-5115 Lokahi Treatment Centers Provider ID: 506670 Lokahi Treatment Centers 54-3886 Akoni Pule Hwy Unit 6 Kapaau, HI 96755 (808) 889-5099 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). West Hawaii PROVIDERS - cont. Smith, Catherine Behavioral Health Counseling Provider ID: 693206 Catherine Smith LCSW LLC - cont. 75-5737 Kuakini Hwy Ste 102 Lokahi Treatment Centers Kailua Kona, HI 96740 Provider ID: 506670 (808) 896-4002 Lokahi Treatment Centers Steiner, Alison 68-1845 Waikoloa Rd Ste Provider ID: 658768 224B Dr Ashley and Associates LLC Waikoloa, HI 96738 75-5744 Alii Dr Ste 237 (808) 883-0922 Kailua Kona, HI 96740 Lokahi Treatment Centers (808) 329-5800 Provider ID: 506670 Psychiatry Lokahi Treatment Centers 76-6225 Kuakini Hwy Ste B105 Gramlich, Edwin Kailua Kona, HI 96740 Provider ID: 511673 (808) 331-1175 Kona Community Hospital Lokahi Treatment Centers Provider ID: 506670 Lokahi Treatment Centers 95 5649 C Mamalahoa Hwy Naalehu, HI 96755 (808) 883-0922 Sallee, Nancy Provider ID: 470302 Orchid Isle Psychotherapy 79-7460 Mamalahoa Hwy Ste 214 Kealakekua, HI 96750 (808) 324-1815 Indicates provider is not accepting new patients 79-1019 Haukapila St Kealakekua, HI 96750 (808) 322-6910 Patrick, Patricia Provider ID: 459570 71-1409 Mamalohoa Hwy Kailua Kona, HI 96740 (808) 325-5522 Indicates provider is wheelchair accessible 2013 Provider Directory 33 Psychology Acquaro, Franco Provider ID: 692435 North Hawaii Community Hospital 67-1125 Mamalahoa Hwy Kamuela, HI 96743 (808) 881-4743 Claspell, Emily Provider ID: 702796 Dr Emily L Claspell 62-2186 Ouli St Kamuela, HI 96743 (808) 885-0530 Cumes, Jeffrey Provider ID: 551270 The Family Psychologist Inc 81-6587 Mamalahoa Hwy Kealakekua, HI 96750 (808) 323-9510 Fujioka, Terry Ann Provider ID: 501016 Terry Ann Fujiolca PHD 79-7460 Mamalahoa Hwy Ste 110 Kealakekua, HI 96750 (808) 324-0434 Indicates provider is board certified ‘Ohana CCS March 2013 The information in this directory is current as of February 15, 2013 and subject to change. If you have any questions about the status of a provider, please call 1-888-846-4262 (TTY/TDD 1-877-247-6272). West Hawaii PROVIDERS - cont. Psychology - cont. Ross, Sylvia Provider ID: 705594 Sylvia An Ross PHD LLC 81-6224 Mamalahoa Hwy B3 Captain Cook, HI 96704 (808) 938-2260 Weiss, Roger Provider ID: 493951 75-5744 Alii Dr Ste 239 Kailua Kona, HI 96740 (808) 329-7999 Substance Abuse Bush, Elizabeth Provider ID: 584491 64-5234 Hohola Dr Kamuela, HI 96743 (808) 885-5988 Lokahi Treatment Centers Provider ID: 506670 Lokahi Treatment Centers 68-1845 Waikoloa Rd Ste 224B Waikoloa, HI 96738 (808) 883-0922 Lokahi Treatment Centers Provider ID: 506670 Lokahi Treatment Centers 76-6225 Kuakini Hwy Ste B105 Kailua Kona, HI 96740 (808) 331-1175 Lokahi Treatment Centers Provider ID: 506670 Lokahi Treatment Centers 95 5649 C Mamalahoa Hwy Naalehu, HI 96755 (808) 883-0922 Lokahi Treatment Centers Provider ID: 506670 Lokahi Treatment Centers 54-3886 Akoni Pule Hwy Unit 6 Kapaau, HI 96755 (808) 889-5099 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 34 Indicates provider is board certified Provider Index You may find providers in this index by searching alphabetically by provider name then page number, where you may locate their listing. For the most up-to-date listing of network providers, visit our website at www.wellcare.com. A Bautista-Torres, Joanne 24 Acquaro, Franco 33 Bay Clinic DBA Hilo Family Adair-Leland, Jean 20 Health Center 2 Adamson, David 3 Beardsley, Rebecca 24 Adam-Terem, Rosemary 24 Beck, Henry 24 Aiyana, Kelley 11 Berkey, Trenda 16 Akamine, Hale S 24 Berman, Mitchell 11 Akana, Cheyenne 16 Bernisto, Conrad 25 Alicata, Daniel 20, 21 Beuret, Terry 25 Aloha House Inc 9, 10 Bianchi, F Peter 25 Aloha Laboratories Inc 14 Big Island Substance Abuse Ambrosia, Linda 3 Council 2, 14, 32 Amjadi, Darius 21 Boggs, Minnie 25 Andaya, Cheryl 21 Brandman, Jd 16 Anderson, Ula 3 Bratton, Joseph 4 Andrus, Jason 12 Breithaupt, Mark 12 Armstrong, Amanda 24 Brennan, Jerry 25 Austin, Beatrice 4 Bressem, Michael 25 Austin, Kenneth 16 Bridge, Michael 25 Avery, Rebecca 3 Brito, Janet 16 Brittain, Matthew 3 B 16 Baile, Betsy 16 Brown, Genotra 21 Bailey, Fahy 7 Buffenstein, Alan 21 Baldwin, Howard 3 Bullen, Doris 25 Barham, Martha 24 Burnett, Donna 34 Barrilleaux, Coral 3 Bush, Elizabeth Barthel III, Christopher Bartlemus, Heather Bass, C P Baumel, Lee 4 11 12 21 Indicates provider is not accepting new patients C Campbell, Neal Canubida, Nancy Carr, Linda D D'Avella, Maria 11 Davidson, Raymond 21 Davis, David 4 Dee, Peter 21 Delano, Caroline 3 Demandel-Schaller, Laurette 6 Diamond Head Community Mental Health Cen 14 Donkervoet, John 25 Donovan, Kelly 32 E Eagan, Amy 11 East Hawaii Community 25 Mental Health Cent 25 Eastwood, Pratibha Indicates provider is wheelchair accessible 2013 Provider Directory 35 Cassteel, Sindona 32 Castle Medical Center 15 Central Oahu Cmhc Wahiawa Clinic 14 Champ Clinic Inc 12, 31 Charlton, Kimberly 21 Choy, Stephen 25 Claspell, Emily 33 Collis, Robert 21 Conley, Carol 6 Cooper, Kimberly 4 Couturier, Alton 7 Cumes, Jeffrey 33 Cynn, Virginia 25 25 2 26 Indicates provider is board certified Provider Index E - cont. Edwards, Annabel Edwards, Laurie Elting, Dirk Emiliano, Sherilynn 32 26 26 16 F Feuer, Carrie Fisher, Jane Fitzgerald, Janet Foley, Michael Frauens, Anne Friedman, George Fujioka, Terry Ann 16 26 26 6 16 12 33 G Garrett, Catherine Getschmann-Padua, Becky Gino, Antonio Gitter, Olaf Glass, Thomas Glen, Bruce Goto, Wayne Goya, Lynn Graham, Jere Gramlich, Edwin Granzotto, Daniela Guay, Peter Guo, John 26 26 26 26 26 12 21 26 6 33 26 26 26 H Hale Hoola Hamakua 2 Hall, James 8 Hamakua Health Center Inc 2 Hana Health 10 Hansen, Bruce 4 Harding, Charles 27 Indicates provider is not accepting new patients Hashimoto, Don Hashimoto, Scott Hayward, Julie Heaster, John Heintz, Perry Helping Hands Hawaii Hilo Medical Center Himes, Eleanor Holter, Teri Ho'Omau Ke Ola I Horn, Mary Horne, Robert Hosenfeld, Charlene Huynh, Ann Hyman, Robert 5 27 6 4 21 17 3 11 11 17 27 8 27 27 21 I Ignacio, Lawrie Imua Family Services Ingenito, Christina 27 10 3 J Jacobs, Karl Jay, Martha Johnson, L 12 7 27 K Kahi Mohala Hospital 15 Kahuku Medical Center 15 Kai, Mutsuoki 21, 22 Kalihi Palama Health Center 15 Kaneshiro, Lisa 5 Kapiolani Med Center For Women and Children 15 Kaplan, Aaron 27 Kariel, Sasha 27 Kau Hospital 2, 3 Indicates provider is wheelchair accessible 2013 Provider Directory 36 Kauai Community Mental Health Center 6 Kauai Veterans Memorial Hospital 6 Kaulia, Rhesa 17 Ke Ola Mamo 14 Kennedy, James 12 Kiehl, Julia 17 Kim, Oksuk 22 Kim, Seungtai 22 Kim, Tammie 27 Kinimaka, Teri-Ann 17 Kiss, Susan 22 Kiyota, Heide 27 Klein, Cynthia 17 Kmcwc OB/GYN Clinic 14 Kmcwc Peds Clinic 14 Kohala Hospital 32 Kokua Kalihi Valley 15 Komeya, Michael 22 Kona Community Hospital 32 Kondo, Glenn 3 Koneck, Carolyn 32 Koolauloa Community Health and Wellness 15 Kosel, Sandra 12 Kou, Michael 27 Koyanagi, Chad 4 Kracher, Stacy 22 Kravetz, Richard 27, 28 Ku Aloha Ola Mau 17 Kuakini Medical Center 16 Kula Hospital 10 Kuszmider, Rudolf 22 Indicates provider is board certified Provider Index K - cont. Maui Community Mental Kvmh DBA West Kauai Clinic Health Center-Wail 10 -Waimea 6 Maui Memorial Medical 11 Maui Youth and Family L Services Inc 10 Lanai Community Health 28 Center 9 McCallum, Kenneth 12 Lanai Community Hospital 9 McGrath, Suwan 17 Lau, Earl 17 McGue, David 28 Lau, Lavay 28 McKim, Carol 28 Lee, Devon 5 McLaughlin, Tina 22 Lee, Priscilla 3 Mikami, Susan 28 Levister, Raymond 28 Mirin, Azita 29 Lind, Dennis 22 Misailidis, Soojean 29 Lindsay, Melissa 28 Miyamoto, Robin Liu-Tom, Hsin-Tine 28 Molokai Community Health Center 13 Lokahi Treatment Centers 3, 4, 5, 32, 33, 34 Molokai General Hospital 13 22 Loos, Warren 28 Murphy, Alvin 29 Lopez, Carolyn 28 Myers, Mary Lowenthal, Dawn Luk, Selene Luke, Kenneth Lum, Kristina Lunnon, Carrie 11 22 22 28 28 N Navarro, Mary 7 Neal, Patricia 11 Needels, Terri 29 North Shore Mental Health Inc 18, 19 M 4 Maciejewski, Simone 22 Novak, Allen Makaha Community Mental O Health Center 14 Oesch, Shannon 19 Manuwai, Joddy 17 Okumoto, Clifford 22 Marsh, Carol 8 Oneal, Scott 19 Marvit, Roben 28 Orimoto, Lisa 29 Matsunami, Margaret 5 Ozoa, Claudette 29 Maui Community Mental P Health Center Lana 9 Pali Momi Medical Center 16 Indicates provider is not accepting new patients Indicates provider is wheelchair accessible 2013 Provider Directory 37 Pangilinan, Renee Patel, Sonia Patrick, Patricia Peck, Joel Pedro, Don Perez, Karlene Pien, Ethan Po'Ailani Inc Presbrey, Theresia Price, Alan 29 23 33 23 29 19 23 19 5 29 Q Quinn, Cynthia 19 R Reed, Daniel Reed, Walter Reid, Rebekah Rezentes III, William Rhoades Jr, George Ridley, David Roberts, Riggs Robertson, Thomas Robison, Bradley Roscoe, David Rosen, Eliot Ross, Sylvia Rudlowski, Peter 29 19 7 29 29 4 12 19 29 29 4 34 23 S Sallee, Nancy 33 Sampsell, Jb Michael 7 Samuel Mahelona Memorial Hospital 6 Schmidt, Donna 19 Schoenheimer, Joyce 30 Seales, Allison 13 Indicates provider is board certified Provider Index S - cont. Sharipova, Elena 23 Shimabukuro, Joann 30 Shimizu, Annette 23 Silverman, Sara 19 Sine, Larry 30 Skow, Stephanie 7 Sliwowski, Donna 23 Smith, Catherine 33 Smith, Douglas 23 Sofra Weiss, Xanya 30 Spector, Alan 20 Spina, Laila 20 State of Hawaii Doh Amhd 2, 6, 9, 10, 14, 15, 32 Steiner, Alison 33 Stoll, Karin 7 Straub Clinic & Hospital 16 Strauss, Marilyn 30 Sturgis, Laura 30 Sugimoto, Anson 20 T Tahauri, Erin 20 Takahashi, Jennifer 30 Takamine, Sandra 5 Takemoto Chock, Naomi 5 Takushi-Isara, Sherrie 30 Tanahashi, Dan 23 Taylor, Janet 4 Tester, Colleen 11 The Alcoholic Rehab Services of Hawaii 7, 20 The Queens Medical Center 16 Theisen, Maribeth 11 Indicates provider is not accepting new patients Tom, David Tran, Phuong Thuy Tremayne, Michele Trockman, Gordon Tsukamoto, Donna Tsushima, William Twentyman, Craig Tyler, Carol 23 23 30 24 30 30 30 30 Wilcox Memorial Hospital 6 Williams, Bridgit 20 Wilson, Cyma 31 Windward Community Mental Health Clinic15 Winnes, John 7 Wisiorowski, Stacey 7 Witt, Katherine 31 Wolf, Robert 20 U Woliver, Robert 31 Unkrur, Paul 31 Wood, Carol 31 V Wright, Lynda 11 Varady, Lothar 24 Wu, Edward 24 Vellanki, Vijaya 24 Vickery, Paula 4 Y 13 Vogelmann Sine, Silke 31 Yamazaki-Gray, Leven Yoshino, Jason 31 W Yuen, Greg 24 Wade, Darlene 20 Wahiawa General Hospital 16 Z 24 Wai, Angela 24 Zen, Mark Waianae Coast Community Mental Health Center 14 Waikiki Health Center 15 Waimanalo Health Center 15 Watanabe, Karen 20 Weiss, Roger 34 Welch, Rob 31 Welcome, Jennifer 11 Welter, Thomas 31 West Hawaii Community Health Center 32 West Hawaii Community Mental Health Cent 32 Wetzel, Rob 31 WGH Pathologists Inc 14 Indicates provider is wheelchair accessible 2013 Provider Directory 38 Indicates provider is board certified Plaza at Mill Town 94450 Mokuola Street, Suite 106 Waipahu, HI 96797 www.ohanaccs.com ‘Ohana Health Plan, a plan offered by WellCare Health Insurance of Arizona, Inc.
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