Healthcare Provider Details

I. General information

NPI: 1851120174
Provider Name (Legal Business Name): CHAMINADE UNIVERSITY OF HONOLULU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 06/12/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 WAIALAE AVE
HONOLULU HI
96816-1510
US

IV. Provider business mailing address

3140 WAIALAE AVE
HONOLULU HI
96816-1510
US

V. Phone/Fax

Practice location:
  • Phone: 808-739-4681
  • Fax:
Mailing address:
  • Phone: 808-739-4681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. LANCE R ASKILDSON
Title or Position: PROVOST AND SENIOR VICE PRESIDENT
Credential: PHD
Phone: 808-735-4825