Healthcare Provider Details

I. General information

NPI: 1740113471
Provider Name (Legal Business Name): PACIFIC PSYCHIATRIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 NUUANU AVE LOWR LEVEL
HONOLULU HI
96817-5193
US

IV. Provider business mailing address

928 NUUANU AVE LOWR LEVEL
HONOLULU HI
96817-5193
US

V. Phone/Fax

Practice location:
  • Phone: 808-600-3901
  • Fax: 539-910-1620
Mailing address:
  • Phone: 808-600-3901
  • Fax: 539-910-1620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER ATEN
Title or Position: OWNER/CEO, PROVIDER
Credential: APRN
Phone: 808-600-3901