1497951271 NPI number — TERENCE C WADE PHD INC

Table of content: DR. ABRAHAM ANWAR ALECOZAY MD, PHD (NPI 1811964208)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497951271 NPI number — TERENCE C WADE PHD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TERENCE C WADE PHD 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:
1497951271
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1188 BISHOP ST STE 3205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96813-3313
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-545-7706
Provider Business Mailing Address Fax Number:
413-812-4219

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1188 BISHOP ST STE 3205
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-3313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-545-7706
Provider Business Practice Location Address Fax Number:
413-812-4219
Provider Enumeration Date:
06/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WADE
Authorized Official First Name:
DARLENE
Authorized Official Middle Name:
K
Authorized Official Title or Position:
CLINICAL SOCIAL WORKER
Authorized Official Telephone Number:
808-545-7706

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PSY161 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: LCSW3168 , 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)

  • Identifier: 2911 . This is a "ALOHACARE ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 9911634 . This is a "UHA ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: B002 . This is a "TRICARE ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: LSCW3168 . This is a "MDX HAWAII ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: PSY161 . This is a "HMAA ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000005926 . This is a "HMSA ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 2912 . This is a "ALOHACARE ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 208654 . This is a "SUMMERLIN, HMA, HMN ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 2170634 . This is a "UHA ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: B003 . This is a "TRICARE ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 05365701 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: PSY161 . This is a "MDX HAWAII ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000061655 . This is a "HMSA ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: LCSW3168 . This is a "HMAA ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 510372 . This is a "SUMMERLIN, HMA, HMN ID" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




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