Provider Demographics
NPI:1881990141
Name:KARSTERS, CHARLES
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:KARSTERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1663 LIHOLIHO ST APT 1
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2948
Mailing Address - Country:US
Mailing Address - Phone:808-336-7270
Mailing Address - Fax:808-444-2944
Practice Address - Street 1:1663 LIHOLIHO ST APT 1
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2948
Practice Address - Country:US
Practice Address - Phone:808-336-7270
Practice Address - Fax:808-444-2944
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI20210118309027Medicaid