Provider Demographics
NPI:1316000664
Name:MARIA BRIONES, PH.D., INC.
Entity Type:Organization
Organization Name:MARIA BRIONES, PH.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:BIBIANA
Authorized Official - Last Name:BRIONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-742-6446
Mailing Address - Street 1:5473 PUULIMA RD # C
Mailing Address - Street 2:
Mailing Address - City:KALAHEO
Mailing Address - State:HI
Mailing Address - Zip Code:96741-9301
Mailing Address - Country:US
Mailing Address - Phone:808-742-6446
Mailing Address - Fax:
Practice Address - Street 1:3176 POIPU RD STE 5
Practice Address - Street 2:
Practice Address - City:KOLOA
Practice Address - State:HI
Practice Address - Zip Code:96756-9521
Practice Address - Country:US
Practice Address - Phone:808-742-6446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-673103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
481900OtherVALUE OPTIONS
HI234518OtherHMSA
HI507832-01Medicaid
9172-01OtherPACIFICARE
HI50783201OtherALOHACARE
HI234518OtherHMSA
9172-01OtherPACIFICARE
HI=========OtherHMAA