Healthcare Provider Details

I. General information

NPI: 1841204914
Provider Name (Legal Business Name): MICHAEL JOSEPH MAHELSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 KAPIOLANI BLVD STE 1316
HONOLULU HI
96814-3802
US

IV. Provider business mailing address

1600 KAPIOLANI BLVD STE 1316
HONOLULU HI
96814-3802
US

V. Phone/Fax

Practice location:
  • Phone: 212-685-8580
  • Fax: 212-685-8581
Mailing address:
  • Phone: 212-685-8580
  • Fax: 212-685-8581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD-15246
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: