Provider Demographics
NPI:1639255862
Name:KARIEL, SASHA (PHD CSAC)
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:KARIEL
Suffix:
Gender:F
Credentials:PHD CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66-172 HALEIWA RD
Mailing Address - Street 2:
Mailing Address - City:HALEIWA
Mailing Address - State:HI
Mailing Address - Zip Code:96712-1509
Mailing Address - Country:US
Mailing Address - Phone:808-621-1820
Mailing Address - Fax:808-621-0540
Practice Address - Street 1:319A N. CANE ST
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2130
Practice Address - Country:US
Practice Address - Phone:808-621-1820
Practice Address - Fax:808-621-0540
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY 438103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00704652OtherALOHA CARE
HIPSY438OtherTRIWEST
HI0000091561OtherHMSA
HI07046802Medicaid
HI07046802Medicaid