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NPI Code Detail

MEDICARE: FUSE MENTAL HEALTH

MEDICARE: FUSE MENTAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1306784095
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUSE MENTAL HEALTH
Provider Business Mailing Address
First Line : 1050 QUEEN ST STE 200
Second Line :
City : HONOLULU
State : HI
Zip : 96814-4130
Country : US
Telephone Number : 650-275-2585
Fax Number :
Provider Business Practice Location Address
First Line : 1050 QUEEN ST STE 200
Second Line :
City : HONOLULU
State : HI
Zip : 96814-4130
Country : US
Telephone Number : 650-275-2585
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM TAYLOR PORTMAN
Credential : MD
Telephone Number : 650-275-2585
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “FUSE MENTAL HEALTH ” Practice Location

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