STATE OF HAWAII, DEPARTMENT OF HEALTH
NPI 1306062690
Community/Behavioral Health in Honolulu, HI

Active since April 17, 2007
1250 PUNCHBOWL ST, RM 256, HONOLULU, HI 96813(808) 590-7320(808) 586-4745 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About State Of Hawaii, Department Of Health NPPES

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

STATE OF HAWAII, DEPARTMENT OF HEALTH (NPI 1306062690) is a healthcare organization registered as a community/behavioral health in Honolulu, Hawaii and active in the NPI registry since April 2007. The organization lists Raquel Nakahara, Financial Resource Specialist, as its authorized official.

NPPES Registry Identity

NPI1306062690
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSTATE OF HAWAII, DEPARTMENT OF HEALTH
Location Address1250 PUNCHBOWL ST, RM 256Honolulu, HI 96813-2416
Mailing AddressPo Box 3378Honolulu, HI 96801-3378 · (808) 590-7320 · Fax (808) 586-4745
Fax(808) 586-4745
Organization SubpartNo
Authorized OfficialRaquel NakaharaFinancial Resource Specialist · (808) 590-7320
Enumeration DateApril 17, 2007
Last NPPES UpdateJune 18, 2014
✔ NPI 1306062690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1250 PUNCHBOWL ST, Honolulu, HI 96813

Other Identifiers 8

Medicare PINHSOHHI
Medicare PINHWOCMHHI
Medicare PINHCOCMHHI
Medicare PINHKPCMHHI
Medicaid539372HI
Medicare PINHMCMHHI
Medicare PINHDHCMHHI
Medicare PINHKCMHHI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

State Of Hawaii, Department Of Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateHawaiiEnrollment IDO20040127000902Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to State Of Hawaii, Department Of Health, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Psychiatry14
Clinical Psychologist5
Clinical Social Worker3
Nurse Practitioner2
Mental Health Counselor1

Nearest to this location (20)

See all 25
Clinical Psychologist
NPI 1275674780
1100 ALAKEA ST 900
Honolulu, HI 96813
(808) 523-7771
✔ PECOS0.3 mi
Psychiatry
NPI 1033328695
1441 KAPIOLANI BLVD FL 16
Honolulu, HI 96814
(808) 432-7600
✔ PECOS✔ Accepts Medicare1.3 mi
Psychiatry
NPI 1225187222
1700 LANAKILA AVE
Honolulu, HI 96817
(808) 832-3823
✔ PECOS✔ Accepts Medicare1.4 mi
Clinical Psychologist
NPI 1861760472
1700 LANAKILA AVE
Honolulu, HI 96817
(808) 832-5800
✔ PECOS✔ Accepts Medicare1.4 mi
Psychiatry
NPI 1073662003
1700 LANAKILA AVE
Honolulu, HI 96817
(808) 832-3823
✔ PECOS1.4 mi
Psychiatry
NPI 1740337203
1833 KALAKAUA AVE STE 206
Honolulu, HI 96815
(808) 393-8456
✔ PECOS✔ Accepts Medicare1.9 mi
Clinical Psychologist
NPI 1437472933
3660 WAIALAE AVE SUITE 208
Honolulu, HI 96816
(808) 256-6518
✔ PECOS✔ Accepts Medicare4.2 mi
Psychiatry
NPI 1184710816
4218 WAIALAE AVENUE A106
Honolulu, HI 96816
(808) 735-0007
✔ PECOS4.9 mi
Clinical Psychologist
NPI 1780758409
98 1247 KAAHUMANU ST 223
Aiea, HI 96701
(808) 487-5433
✔ PECOS✔ Accepts Medicare8.4 mi
Psychiatry
NPI 1275655268
860 FOURTH ST 2ND FLOOR
Pearl City, HI 96782
(808) 453-5953
✔ PECOS9.4 mi
Clinical Social Worker
NPI 1467507053
860 FOURTH STREET ROOM 204
Pearl City, HI 96782
(808) 453-5953
✔ PECOS9.4 mi
Clinical Psychologist
NPI 1679509723
919 LEHUA AVE
Pearl City, HI 96782
(808) 453-1919
✔ PECOS9.4 mi
Psychiatry
NPI 1912498551
354 ULUNIU ST STE 404
Kailua, HI 96734
(802) 432-8863
✔ PECOS9.5 mi
Clinical Social Worker
NPI 1710692983
91-2301 OLD FT WEAVER RD
Ewa Beach, HI 96706
(808) 677-2525
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1003825282
86-260 FARRINGTON HWY
Waianae, HI 96792
(808) 696-7081
✔ PECOS23 mi
Psychiatry
NPI 1447461256
55 MAUI LANI PKWY
Wailuku, HI 96793
(808) 243-6420
✔ PECOS93 mi
Psychiatry
NPI 1245239946
121 MAHALANI ST
Wailuku, HI 96793
(808) 984-2150
✔ PECOS93 mi
Psychiatry
NPI 1518026467
121 MAHALANI ST
Wailuku, HI 96793
(808) 984-2150
✔ PECOS✔ Accepts Medicare93 mi
Mental Health Counselor
NPI 1841928421
161 S WAKEA AVE
Kahului, HI 96732
(808) 244-7467
✔ PECOS94 mi
Nurse Practitioner
NPI 1285419879
79-1020 HAUKAPILA ST STE 202
Kealakekua, HI 96750
(808) 322-4818
✔ PECOS✔ Accepts Medicare176 mi
See all 25 clinicians

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 State Of Hawaii, Department Of Health's NPI number?

The NPI number for State Of Hawaii, Department Of Health is 1306062690. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is State Of Hawaii, Department Of Health located?

State Of Hawaii, Department Of Health is located at 1250 Punchbowl St Rm 256, Honolulu, HI 96813. The listed phone number is (808) 590-7320.

What is State Of Hawaii, Department Of Health's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is State Of Hawaii, Department Of Health enrolled in Medicare?

Yes. State Of Hawaii, Department Of Health is registered in the Medicare PECOS enrollment system.

When is State Of Hawaii, Department Of Health's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through State Of Hawaii, Department Of Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 5 Medicare specialties reassign their Medicare billing to State Of Hawaii, Department Of Health. 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. The largest specialties are Psychiatry (14), Clinical Psychologist (5) and Clinical Social Worker (3). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does State Of Hawaii, Department Of Health accept?

Health plans from HMSA list State Of Hawaii, Department Of Health 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 State Of Hawaii, Department Of Health was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.