Provider Demographics
NPI:1538499264
Name:MELAMED, BARBARA GREENSTEIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:GREENSTEIN
Last Name:MELAMED
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5079 MAUNALANI CIR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-4017
Mailing Address - Country:US
Mailing Address - Phone:808-737-7420
Mailing Address - Fax:808-737-7420
Practice Address - Street 1:5079 MAUNALANI CIR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-4017
Practice Address - Country:US
Practice Address - Phone:808-737-7420
Practice Address - Fax:808-737-7420
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-31
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1105103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIUPIN VADOOOtherTAMC