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ISLAND MIND THERAPY LLC
NPI 1285462234
Psychiatry & Neurology - Psychiatry in Wailuku, HI

Active since July 22, 2024
1955 MAIN ST STE 200, WAILUKU, HI 96793(808) 987-6404 Get Directions Write a Review

NPPES record last updated: July 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2025, Sep 5, 2024, Jul 22, 2024 (3 updates tracked since 2024).

About Island Mind Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISLAND MIND THERAPY LLC (NPI 1285462234) is a healthcare organization registered as a psychiatry in Wailuku, Hawaii and active in the NPI registry since July 2024. The organization lists Channing Slate, Llc Manager / Medical Director, as its authorized official.

NPPES Registry Identity

NPI1285462234
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameISLAND MIND THERAPY LLC
Location Address1955 MAIN ST STE 200Wailuku, HI 96793-1741
Mailing Address1955 Main St Ste 200Wailuku, HI 96793-1741 · (808) 229-3200
Phone(808) 987-6404
Organization SubpartNo
Authorized OfficialChanning SlateLlc Manager / Medical Director · (808) 229-3434
Enumeration DateJuly 22, 2024
Last NPPES UpdateJuly 5, 20253 updates tracked since enumeration
NPPES CertifiedJuly 5, 2025
✔ NPI 1285462234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1955 MAIN ST STE 200, Wailuku, HI 96793
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Island Mind Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Island Mind Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Channing Slate, M.D.
Psychiatry
NPI 1801021621
1955 MAIN ST STE 200
Wailuku, HI 96793
(808) 987-6404
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Island Mind Therapy LLC's NPI number?

The NPI number for Island Mind Therapy LLC is 1285462234. It was assigned to this organization in the NPPES registry on July 22, 2024.

Where is Island Mind Therapy LLC located?

Island Mind Therapy LLC is located at 1955 Main St Ste 200, Wailuku, HI 96793. The listed phone number is (808) 987-6404.

What is Island Mind Therapy LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Island Mind Therapy LLC enrolled in Medicare?

Yes. Island Mind Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Island Mind Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Island Mind Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Island Mind Therapy LLC accept?

Health plans from HMSA list Island Mind Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Island Mind Therapy LLC was last updated on July 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.