1073717211 NPI number — MARIA PARRENO, PSY.D., INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073717211 NPI number — MARIA PARRENO, PSY.D., INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARIA PARRENO, PSY.D., INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073717211
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 690107
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAKAWELI
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96769-0107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-335-3300
Provider Business Mailing Address Fax Number:
808-335-3301

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4353 WAIALO RD
Provider Second Line Business Practice Location Address:
STE 13B
Provider Business Practice Location Address City Name:
ELEELE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-335-3300
Provider Business Practice Location Address Fax Number:
808-335-3301
Provider Enumeration Date:
06/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PARRENO
Authorized Official First Name:
MARIA
Authorized Official Middle Name:
ROSE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
808-335-3300

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PSY 865 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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