Healthcare Provider Details

I. General information

NPI: 1609384460
Provider Name (Legal Business Name): JANALLE KALOI-CHEN PSYD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2018
Last Update Date: 01/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 BISHOP ST STE 2870
HONOLULU HI
96813-3482
US

IV. Provider business mailing address

281 KILEA PL
WAHIAWA HI
96786-2768
US

V. Phone/Fax

Practice location:
  • Phone: 808-538-7793
  • Fax:
Mailing address:
  • Phone: 808-497-9910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number1452
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1452
License Number StateHI

VIII. Authorized Official

Name: DR. JANALLE KALOI-CHEN
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 808-497-9910