Healthcare Provider Details

I. General information

NPI: 1295917540
Provider Name (Legal Business Name): F. PETER BIANCHI, JR., PH.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 KAPIOLANI BLVD STE 1306
HONOLULU HI
96814-3805
US

IV. Provider business mailing address

1600 KAPIOLANI BLVD STE 1306
HONOLULU HI
96814-3805
US

V. Phone/Fax

Practice location:
  • Phone: 808-949-7444
  • Fax: 808-949-6262
Mailing address:
  • Phone: 808-949-7444
  • Fax: 808-949-6262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberPSY177
License Number StateHI

VIII. Authorized Official

Name: DR. F PETER BIANCHI JR.
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 808-949-7444