Aloha! Here is your Ohana CCS provider directory. It s a listing of all of the behavioral health providers and pharmacies who make up our network.

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2013 51096 HI021381_CAD_PRD_MLT State Approved 02142013 WellCare 2013 HI_01_13

Aloha! Here is your Ohana CCS provider directory. It s a listing of all of the behavioral health providers and pharmacies who make up our network. Each of these providers will make his or her own decisions about the care you need. As you look through this directory, you ll see that we ve listed all of the providers by island. Then we ve broken them down into different categories based on the type of care or services they provide. We ve also included: The providers addresses and phone numbers Symbols to tell you whether the provider is accepting, board certified or wheelchair Call Customer Service if you have any questions about this directory. We can help you find a provider. We can even help schedule an appointment for you. The toll free number is 1-888-846-4262. You can reach us Monday Friday, 7:45 a.m. to 5:30 p.m. HST. TTY/TDD users should call 1-877-247-6272. We wish you good health. Mahalo!

Table of Contents East Hawaii FACILITIES 2 HOSPITALS 2 PROVIDERS 3 Kauai FACILITIES 6 HOSPITALS 6 PROVIDERS 6 Lanai FACILITIES HOSPITALS Maui FACILITIES HOSPITALS PROVIDERS Molokai FACILITIES HOSPITALS PROVIDERS Oahu ANCILLARY FACILITIES HOSPITALS PROVIDERS West Hawaii FACILITIES 32 HOSPITALS 32 PROVIDERS 32 Indexes Provider Index 35 9 9 10 10 11 13 13 13 14 14 15 16

FACILITIES Behavioral Health Facility Big Island Substance Abuse Council Provider ID: 494698 Big Island Substance Abuse Council 140 Puueo St (808) 969-2001 Big Island Substance Abuse Council Provider ID: 494698 Big Island Substance Abuse Council 15 Kanoa St (808) 933-9527 Big Island Substance Abuse Council Provider ID: 494698 Big Island Substance Abuse Council 152 Puueo St (808) 969-4855 East Hawaii Community Mental Health East Hawaii Community Mental Health Cent Provider ID: 556576 East Hawaii Cmhc - Hilo Clinic 37 Kekaulike St (808) 297-4430 East Hawaii Community Mental Health Cent Provider ID: 558154 East Hawaii Cmhc Puna Clinic 3 Government Rd Bldg E Pahoa, HI 96778 (808) 965-2240 State of Hawaii Doh Amhd Provider ID: 506112 East Hawaii Cmhc Puna Clinic 3 Government Rd Bkdg E Pahoa, HI 96778 (808) 965-2240 State of Hawaii Doh Amhd Provider ID: 506112 East Hawaii Cmhc - Hilo Clinic 37 Kekaulike St (808) 297-4430 Federally Qualified Health Bay Clinic DBA Hilo Family Health Provider ID: 477698 Hilo Family Health 1178 Kinoole St Ste B (808) 969-1427 Hamakua Health Inc Provider ID: 130948 Hamakua Health 45-549 Plumeria St Honokaa, HI 96727 (808) 775-7204 Rural Health Kau Hospital Provider ID: 480577 1 Kamani St Pahala, HI 96777 (808) 932-4205 HOSPITALS Critical Access Hospital Hale Hoola Hamakua Provider ID: 441438 45-547 Plumeria St Honokaa, HI 96727 (808) 775-7211 2013 Provider Directory 2

HOSPITALS - cont. Critical Access Hospital - cont. Kau Hospital Provider ID: 441440 1 Kamani St Pahala, HI 96777 (808) 932-4200 Hospital Hilo Medical Provider ID: 201679 1190 Waianuenue Ave (808) 974-4700 PROVIDERS Behavioral Health Counseling Adamson, David Provider ID: 531995 206 Kamehameha Ave (808) 933-9113 Ambrosia, Linda Provider ID: 684343 Linda Ambrosia LMFT 120 Keawe St Ste 204 G (808) 935-0222 East Hawaii Anderson, Ula Provider ID: 700251 Ohana Counseling Services 56 Waianuenue Ave Ste 202 (808) 935-4412 Avery, Rebecca Provider ID: 473154 1856 Kinoole St (808) 959-2258 Baldwin, Howard Provider ID: 487198 Light Worker Enterprises 213 Ululani St (808) 961-2811 Barrilleaux, Coral Provider ID: 681373 Coral's 120 Keawe St Ste 204A (808) 756-2129 Brittain, Matthew Provider ID: 483741 Effective Change 56 Waianuenue Ave Ste 207 (808) 934-7566 Delano, Caroline Provider ID: 692427 Caroline S Delano LCSW 12-7247 Moana Kai Pali St Pahoa, HI 96778 (808) 965-6226 Ingenito, Christina Provider ID: 564894 14-4330 Pahoa Kapoho Rd Pahoa, HI 96778 (808) 333-0462 Kondo, Glenn Provider ID: 476232 688 Kinoole St Ste 119B (808) 935-5687 Lee, Priscilla Provider ID: 472848 Ke Alaula Inc 56 Waianuenue Ave Ste 208 (808) 969-9211 Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 400 Hualani St Bldg 10 Ste 195B (808) 969-9292 2013 Provider Directory 3

PROVIDERS - cont. Behavioral Health Counseling - cont. Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 45-3544 Mamane St Honokaa, HI 96727 (808) 775-7707 Novak, Allen Provider ID: 480498 122 Haili St (808) 934-9071 Ridley, David Provider ID: 520461 Ohana Counseling Services 56 Waianuenue Ave Ste 202 (808) 935-4412 Rosen, Eliot Provider ID: 459581 13-3564 Moku St Pahoa, HI 96778 (808) 965-1279 Taylor, Janet Provider ID: 521100 Jan Taylor LCSW 13-931 Malama St Pahoa, HI 96778 (808) 938-9315 East Hawaii Taylor, Janet Provider ID: 521100 Jan Taylor LCSW 350 Lehua St Ste 3 (808) 938-9315 Vickery, Paula Provider ID: 606247 Paula Vickery APRN RX 1251 Kilauea Ave Ste 190C (808) 961-1000 Psychiatry Heaster, John Provider ID: 486654 John Heaster MD 122 Haili St (808) 933-3555 Koyanagi, Chad Provider ID: 577204 Hilo Medical 45 Mohouli St Ste 101 (808) 932-4220 Psychology Austin, Beatrice Provider ID: 454856 101 Aupuni St Ste 250 (808) 961-9287 Barthel III, Christopher Provider ID: 473149 46-4190 Old Mamalahoa Honokaa, HI 96727 (808) 775-9147 Bratton, Joseph Provider ID: 492969 101 Aupunit St Ste 216 (808) 934-0544 Cooper, Kimberly Provider ID: 525141 Hawaii Family Health Inc 50 Ululani St (808) 933-2399 Davis, David Provider ID: 507052 David P Davis, PHD, LLC 17-4011 Ahuahu Pl Ste A Mountain View, HI 96771 (808) 756-1863 Hansen, Bruce Provider ID: 487432 Kona Therapy Associates Inc 101 Aupuni St Ste 118 (808) 961-5500 2013 Provider Directory 4

PROVIDERS - cont. Psychology - cont. Hashimoto, Don Provider ID: 473172 56 Waianuenue Ave Ste 201 (808) 935-9016 Kaneshiro, Lisa Provider ID: 455199 1266 Kamehameha Ave Ste B (808) 933-1313 Lee, Devon Provider ID: 487755 Ohana Counseling Services 56 Waianuenue Ave Ste 202 (808) 935-4412 Matsunami, Margaret Provider ID: 474153 308 Kamehameha Hwy (808) 969-3227 Matsunami, Margaret Provider ID: 474153 308 Kamehameha Hwy Ste 209 (808) 969-3227 East Hawaii Presbrey, Theresia Provider ID: 454575 101 Aupuni St Ste 239-240 (808) 935-3395 Takamine, Sandra Provider ID: 493055 101 Aupuni St Ste 118 (808) 963-5462 Takemoto Chock, Naomi Provider ID: 466188 1978 Komohana St (808) 959-4948 Substance Abuse Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 400 Hualani St Bldg 10 Ste 195B (808) 969-9292 Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 45-3544 Mamane St Honokaa, HI 96727 (808) 775-7707 2013 Provider Directory 5

FACILITIES Clinic Kvmh DBA West Kauai Clinic-Waimea Provider ID: 514741 West Kauai Clinic - Waimea 4643-B Waimea Canyon Dr Waimea, HI 96796 (808) 338-8311 Community Mental Health Kauai Community Mental Health Provider ID: 556739 Kauai Community Health - Lih 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 274-3190 State of Hawaii Doh Amhd Provider ID: 506112 Kauai Community Health - Lih 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 274-3190 Kauai HOSPITALS Critical Access Hospital Kauai Veterans Memorial Hospital Provider ID: 441442 4643 Waimea Canyon Rd Waimea, HI 96796 (808) 338-0431 Samuel Mahelona Memorial Hospital Provider ID: 467436 4800 Kawaihau Rd Kapaa, HI 96746 (808) 822-3363 Hospital Wilcox Memorial Hospital Provider ID: 187419 3-3420 Kuhio Hwy Lihue, HI 96766 (800) 645-3055 PROVIDERS Behavioral Health Counseling Conley, Carol Provider ID: 689183 4-1525 Kuhio Hwy Kapaa, HI 96746 (808) 635-2597 Conley, Carol Provider ID: 689183 4442 Hardy St Ste 102 Lihue, HI 96766 (808) 635-2597 Demandel-Schaller, Laurette Provider ID: 541730 Dr Schaller 2975 Haleko Rd Ste 307 Lihue, HI 96766 (808) 826-1490 Foley, Michael Provider ID: 513906 Ho'Omaluhia 4374 Kukui Grove St Ste 102 Lihue, HI 96766 (808) 651-8269 Graham, Jere Provider ID: 593724 Jere M Graham 4566 C Ohia St Kapaa, HI 96746 (808) 651-6779 Hayward, Julie Provider ID: 473187 Kauai Community Mental Health 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 274-3190 2013 Provider Directory 6

PROVIDERS - cont. Behavioral Health Counseling - cont. Jay, Martha Provider ID: 608945 7198 Koolau Rd Kilauea, HI 96754 (808) 651-2499 Navarro, Mary Provider ID: 700255 Mary Navarro Counseling Services 3092 Elua St Lihue, HI 96766 (808) 346-6784 Navarro, Mary Provider ID: 700255 Mary Navarro Counseling Services 3146 Akahi St Lihue, HI 96766 (808) 346-6784 Reid, Rebekah Provider ID: 620470 The Rebekah Reid Clinic 4-1038 Kuhio Hwy Kapaa, HI 96746 (808) 823-7007 Kauai Stoll, Karin Provider ID: 495552 3146 Akahi St Lihue, HI 96766 (808) 632-2010 The Alcoholic Rehab Services of Hawaii Provider ID: 531673 The Alcoholic Rehabilitation Servic 2970 Kele St Lihue, HI 96766 (808) 245-8883 Winnes, John Provider ID: 471349 2460 Oka St Ste 101A Koloa, HI 96756 (808) 828-2885 Winnes, John Provider ID: 471349 4374 Kukui Grove St Ste 102 Lihue, HI 96766 (808) 635-2494 Wisiorowski, Stacey Provider ID: 669862 2970 Kele St Ste 207B Lihue, HI 96766 (808) 639-9359 Psychiatry Sampsell, Jb Michael Provider ID: 449359 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 274-3190 Skow, Stephanie Provider ID: 509471 Stephanie Skow, MD Inc 4334 Rice St Ste 203A Lihue, HI 96766 (808) 634-2376 Psychology Bailey, Fahy Provider ID: 491522 4-1435 Kuhio Hwy Ste 206 Kapaa, HI 96746 (808) 822-2447 Couturier, Alton Provider ID: 512053 Kauai Community Mental Health 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 274-3190 2013 Provider Directory 7

PROVIDERS - cont. Psychology - cont. Hall, James Provider ID: 515742 Kauai Community Mental Health 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 241-3130 Hall, James Provider ID: 573416 3-3212 Kuhio Hwy Lihue, HI 96766 (808) 241-3130 Horne, Robert Provider ID: 449857 3501 Rice St Ste 214 Lihue, HI 96766 (808) 245-6116 Marsh, Carol Provider ID: 453787 4100 Omao Koloa, HI 96756 (808) 742-9733 Kauai 2013 Provider Directory 8

FACILITIES Behavioral Health Facility Aloha House Inc Provider ID: 498863 Aloha House Inc 730 Lanai Ave Ste 102 Lanai City, HI 96763 (808) 565-9566 Community Mental Health Maui Community Mental Health Lana Provider ID: 564539 730 Lanai Ave Ste 6 Lanai City, HI 96763 (808) 565-6189 State of Hawaii Doh Amhd Provider ID: 506112 Maui Community Mental Health 730 Lanai Ave Ste 6 Lanai City, HI 96763 (808) 565-6189 Lanai Federally Qualified Health Lanai Community Health Provider ID: 509596 Lanai Community Health 478 Lauhala Pl Lanai City, HI 96763 (808) 565-6919 HOSPITALS Critical Access Hospital Lanai Community Hospital Provider ID: 441447 628 Seventh St Lanai City, HI 96763 (808) 565-6411 2013 Provider Directory 9

FACILITIES Behavioral Health Facility Aloha House Inc Provider ID: 498863 Aloha House Inc 1787 Wili PA LP Ste 7 Wailuku, HI 96793 (808) 249-2121 Aloha House Inc Provider ID: 498863 Aloha House Inc 220 Imi Kala Wailuku, HI 96793 (808) 242-1660 Aloha House Inc Provider ID: 498863 Aloha House Inc 250 Waiehu Beach Rd Wailuku, HI 96793 (808) 242-9733 Aloha House Inc Provider ID: 498863 Aloha House Inc 4593 Ike Dr Makawao, HI 96768 (808) 579-9584 Maui Aloha House Inc Provider ID: 498863 Aloha House Inc 70 Miner Pl Makawao, HI 96768 (808) 573-7806 Imua Family Services Provider ID: 588968 95 Mahalani St Ste 19A Wailuku, HI 96793 (808) 244-7467 Maui Youth and Family Services Inc Provider ID: 493057 1931 Baldwin Ave Makawao, HI 96768 (808) 214-4417 Community Mental Health Maui Community Mental Health -Wail Provider ID: 556741 Maui Community Mental Health 121 Mahalani St Wailuku, HI 96793 (808) 984-2150 State of Hawaii Doh Amhd Provider ID: 506112 Maui Community Mental Health 121 Mahalani St Wailuku, HI 96793 (808) 984-2150 Federally Qualified Health Hana Health Provider ID: 477701 Hana Health 4590 Hana Hwy Hana, HI 96713 (808) 248-8294 HOSPITALS Critical Access Hospital Kula Hospital Provider ID: 441445 100 Keokea Pl Kula, HI 96790 (808) 878-1221 Kula Hospital Provider ID: 441445 204 Kula Hwy Kula, HI 96790 (808) 878-1221 2013 Provider Directory 10

HOSPITALS - cont. Hospital Maui Memorial Medical Provider ID: 135 221 Mahalani St Wailuku, HI 96793 (808) 244-9056 PROVIDERS Behavioral Health Counseling Aiyana, Kelley Provider ID: 477056 2511 S Kiehi Rd Ste I Kihei, HI 96753 (808) 281-8948 Bartlemus, Heather Provider ID: 650577 1826 Wili PA LP Ste 7 Wailuku, HI 96793 (808) 244-8433 Berman, Mitchell Provider ID: 520633 10825 Kula Hwy Kula, HI 96790 (808) 878-3414 Campbell, Neal Provider ID: 484511 135 S Wakea Ave Ste 203 Kahului, HI 96732 (808) 268-2315 Maui D'Avella, Maria Provider ID: 618840 Maria D'Avella 15 Puaina Pl Makawao, HI 96768 (808) 280-3431 Himes, Eleanor Provider ID: 496957 1356 Kilou Pl Wailuku, HI 96793 (808) 244-5314 Holter, Teri Provider ID: 492481 3660 Baldwin Ave Makawao, HI 96768 (808) 205-8055 Lowenthal, Dawn Provider ID: 513405 Transformational Counseling Inc 32 Makaio Pl Haiku, HI 96708 (808) 575-7337 Neal, Patricia Provider ID: 473584 55 Church St Ste 2 Wailuku, HI 96793 (808) 280-3848 Tester, Colleen Provider ID: 501353 Colleen M Tester LCSW 135 S Wakea Ave Ste 208 Kahului, HI 96732 (808) 871-1181 Theisen, Maribeth Provider ID: 476384 188 Walua Pl Kihei, HI 96753 (808) 269-2923 Welcome, Jennifer Provider ID: 605506 135 S Wakea Ave Ste 105 Kahului, HI 96732 (808) 344-8218 Wright, Lynda Provider ID: 459623 Follow Your Dreams Inc 1266 Lower Kimo Dr Kula, HI 96790 (808) 430-3176 Wright, Lynda Provider ID: 459623 Follow Your Dreams Inc 2200 Main St Ste 511 Wailuku, HI 96793 (808) 430-3176 2013 Provider Directory 11

PROVIDERS - cont. Psychiatry Andrus, Jason Provider ID: 499100 Maui Memorial Med 221 Mahalani St Wailuku, HI 96793 (808) 442-5473 McGrath, Suwan Provider ID: 651700 Maui Memorial Medical 221 Mahalani St Wailuku, HI 96793 (808) 442-5473 Roberts, Riggs Provider ID: 486980 Riggs Bailey Roberts MD 1883 Mill St Wailuku, HI 96793 (808) 242-9233 Psychology Bass, C P Provider ID: 450192 1129 L Main St Ste 305 Wailuku, HI 96793 (808) 242-7011 Maui Breithaupt, Mark Provider ID: 488271 55 N Church St Ste 7 Wailuku, HI 96793 (808) 244-4037 Friedman, George Provider ID: 507741 George J Friedman PHD 33 N Market St Ste 205 Wailuku, HI 96793 (808) 244-0808 Glen, Bruce Provider ID: 506821 Bruce Glen PHD 1940 Olinda Rd Makawao, HI 96768 (808) 572-6556 Jacobs, Karl Provider ID: 455035 1135 Makawao Ave Makawao, HI 96768 (808) 572-0631 Kennedy, James Provider ID: 494207 2200 Main St Ste 512 Wailuku, HI 96793 (808) 244-9559 Kosel, Sandra Provider ID: 520099 2847 Ohina St Kihei, HI 96753 (808) 875-1348 Substance Abuse Champ Clinic Inc Provider ID: 490709 270 Waiehu Beach Rd Ste 115 Wailuku, HI 96793 (808) 249-8784 2013 Provider Directory 12

FACILITIES Federally Qualified Health Molokai Community Health Provider ID: 483506 Molokai Community Health 30 Oki Pl Kaunakakai, HI 96748 (808) 553-5038 HOSPITALS Critical Access Hospital Molokai General Hospital Provider ID: 441450 280 Home Olu Pl Kaunakakai, HI 96748 (808) 553-3122 PROVIDERS Behavioral Health Counseling Yamazaki-Gray, Leven Provider ID: 701162 Molokai Enterprises 206 A'Ahi Pl Kaunakakai, HI 96748 (808) 336-1151 Molokai Psychology Seales, Allison Provider ID: 541832 Na Pu Uwai 20 A Ala Malama Ave Kaunakakai, HI 96748 (808) 560-3653 Seales, Allison Provider ID: 541832 Napuuwai 604 Maunaloa Hwy Kaunakakai, HI 96748 (808) 560-3653 2013 Provider Directory 13

ANCILLARY Laboratory Pathology Testing Aloha Laboratories Inc Provider ID: 494792 Aloha Laboratories Inc 2036 Hau St Honolulu, HI 96819 (808) 842-6600 WGH Pathologists Inc Provider ID: 465581 128 Lehua St Wahiawa, HI 96786 (808) 621-4351 FACILITIES Behavioral Health Facility Big Island Substance Abuse Council Provider ID: 494698 Big Island Substance Abuse Council 85-638 Farrington Hwy C/O Waianae Civic Waianae, HI 96792 (808) 696-6775 Waianae Coast Community Mental Health Provider ID: 485631 86-226 Farrington Hwy Waianae, HI 96792 (808) 696-4211 Oahu Clinic Ke Ola Mamo Provider ID: 627970 Ke Ola Mamo 321 N Kuakini St Ste 308 (808) 232-2222 Kmcwc OB/GYN Clinic Provider ID: 557311 Kmcwc OB/GYN Clinic 1319 Punahou St Honolulu, HI 96826 (808) 983-6000 Kmcwc Peds Clinic Provider ID: 549353 Kmcwc Peds Clinic 1319 Punahou St Honolulu, HI 96826 (808) 983-6000 Community Mental Health Central Oahu Cmhc Wahiawa Clinic Provider ID: 571501 Central Oahu Cmhc-Wahiawa Clinic 910 California Ave Wahiawa, HI 96786 (808) 621-8425 Diamond Head Community Mental Health Cen Provider ID: 556738 Diamond Head Cmch 3627 Kilauea Ave Ste 408 Honolulu, HI 96816 (808) 733-9260 Makaha Community Mental Health Provider ID: 556736 Makaha Mental Health Clinic 84-1150 Farrington Hwy Waianae, HI 96792 (808) 697-7880 State of Hawaii Doh Amhd Provider ID: 506112 Kalihi Palama Cmhc 1700 Lanakila Ave Honolulu, HI 96817 (808) 832-5800 State of Hawaii Doh Amhd Provider ID: 506112 Diamond Head Cmch 3627 Kilauea Ave Ste 408 Honolulu, HI 96816 (808) 733-9260 2013 Provider Directory 14

FACILITIES - cont. Community Mental Health - cont. State of Hawaii Doh Amhd Provider ID: 506112 Windward Oahu Cmhc - Kaneohe Clinic 45-691 Keaahala Rd Kaneohe, HI 96744 (808) 233-3775 State of Hawaii Doh Amhd Provider ID: 506112 Makaha Mental Health Clinic 84-1150 Farrington Hwy Waianae, HI 96792 (808) 697-7880 State of Hawaii Doh Amhd Provider ID: 506112 Central Oahu Cmhc-Pear 860 Fourth St Pearl City, HI 96782 (808) 453-5950 Windward Community Mental Health Clinic- Provider ID: 556737 Windward Oahu Cmhc - Kaneohe Clinic 45-691 Keaahala Rd Kaneohe, HI 96744 (808) 233-3775 Oahu Federally Qualified Health Kalihi Palama Health Provider ID: 483644 Kalihi Palama Health 915 N King St Honolulu, HI 96817 (808) 848-1438 Kokua Kalihi Valley Provider ID: 493961 2239 N School St Honolulu, HI 96819 (808) 791-9400 Koolauloa Community Health and Wellness Provider ID: 518444 Koolauloa Community Health Clinic 56-119 Pualalea St Kahuku, HI 96731 (808) 293-9231 Waikiki Health Provider ID: 479070 Waikiki Health 277 Ohua Ave Honolulu, HI 96815 (808) 922-4787 Waimanalo Health Provider ID: 511385 Waimanalo Health 41-1347 Kalanianiole Hwy Waimanalo, HI 96795 (808) 259-7948 HOSPITALS Critical Access Hospital Kahuku Medical Provider ID: 406167 56-117 Pualalea St Kahuku, HI 96731 (808) 293-9221 Hospital Castle Medical Provider ID: 208978 640 Ulukahiki St (808) 263-5500 Kahi Mohala Hospital Provider ID: 441441 91-2301 Old Fort Weaver Rd Ewa Beach, HI 96706 (808) 671-8511 Kapiolani Med For Women and Children Provider ID: 179624 1319 Punahou St Honolulu, HI 96826 (808) 983-6000 2013 Provider Directory 15

HOSPITALS - cont. Hospital - cont. Kuakini Medical Provider ID: 441444 Kuakini Medical 347 N Kuakini St Honolulu, HI 96817 (808) 536-2236 Pali Momi Medical Provider ID: 294631 98-1079 Moanalua Rd Aiea, HI 96701 (808) 486-6000 Straub Clinic & Hospital Provider ID: 204243 888 S King St (808) 522-4000 The Queens Medical Provider ID: 276212 The Queens Medical 1301 Punchbowl St (808) 538-9011 Wahiawa General Hospital Provider ID: 315652 Wahiawa General Hospital 128 Lehua St Wahiawa, HI 96786 (808) 621-8411 Oahu PROVIDERS Behavioral Health Counseling Akana, Cheyenne Provider ID: 508517 Cheyenne Akana LCSW 1019 Waimanu St Ste 211 (808) 941-1800 Austin, Kenneth Provider ID: 550019 Videosynergy Studio II 1216 Young St Ste 305 (808) 591-9110 Baile, Betsy Provider ID: 456756 319A N Cane St Wahiawa, HI 96786 (808) 621-1820 Berkey, Trenda Provider ID: 472214 Psychotherapy Works 98-211 Pali Momi St Ste 707 Aiea, HI 96701 (808) 623-0097 Brandman, Jd Provider ID: 658300 615 Piikoi St Ste 511 (808) 593-7703 Brito, Janet Provider ID: 552003 1600 Kapiolani Blvd Ste 1306 (808) 949-7444 Brown, Genotra Provider ID: 687281 Origens Counseling Services LLC 40 Aulike St Ste 411 (808) 664-3874 Emiliano, Sherilynn Provider ID: 710895 Hawaii Counseling and Education 970 N Kalaheo Ave A213 (808) 254-1484 Feuer, Carrie Provider ID: 530575 Carrie Feuer PHD, Inc 305 Lala Pl (808) 261-0121 Frauens, Anne Provider ID: 532776 Solutions For Change LLC 460 Ena Rd Ste 505 Honolulu, HI 96815 (808) 545-5250 2013 Provider Directory 16

PROVIDERS - cont. Behavioral Health Counseling - cont. Helping Hands Hawaii Provider ID: 506421 Helping Hands Hawaii 2100 N Nimitz Hwy Honolulu, HI 96819 (808) 536-7234 Ho'Omau Ke Ola I Provider ID: 529290 Ho'Omau Ke Ola I 84-1006 Farrington Hwy Waianae, HI 96792 (808) 697-1370 Ho'Omau Ke Ola I Provider ID: 529290 Ho'Omau Ke Ola 84-742 Farrington Hwy Waianae, HI 96792 (808) 696-4266 Ho'Omau Ke Ola I Provider ID: 529290 Ho'Omau Ke Ola 85-761 Farrington Hwy Waianae, HI 96792 (808) 696-4266 Oahu Ho'Omau Ke Ola I Provider ID: 529290 88-761 Farrington Hwy Waianae, HI 96792 (808) 696-7931 Kaulia, Rhesa Provider ID: 470262 Grace Works, LLC 94-1221 Kau Ka Blvd Ste B202a Waipahu, HI 96797 (808) 389-9369 Kiehl, Julia Provider ID: 459134 319 A N Cane St Wahiawa, HI 96786 (808) 277-8499 Kiehl, Julia Provider ID: 459134 56-119 Pualalea St Kahuku, HI 96731 (808) 277-8499 Kinimaka, Teri-Ann Provider ID: 557675 Aloha Psychotherapy LLC 1636 Silva St Honolulu, HI 96819 (808) 392-4813 Klein, Cynthia Provider ID: 673686 45-955 Kamehameha Hwy Kaneohe, HI 96744 (808) 358-9578 Ku Aloha Ola Mau Provider ID: 500043 Ku Aloha Ola Mau 1130 N Nimitz Hwy Ste C-302 Honolulu, HI 96817 (808) 538-0704 Lau, Earl Provider ID: 521190 Marriage and Family Therapeutic 1314 S King St Ste 862 (808) 391-2289 Manuwai, Joddy Provider ID: 516562 Ka Mauli Ola The Power of Healing T 122 Oneawa St Ste 203 (808) 222-2700 McGue, David Provider ID: 685818 1750 Kalakaua Ave Apt 1912 Honolulu, HI 96826 (808) 381-0139 2013 Provider Directory 17

PROVIDERS - cont. Behavioral Health Counseling - cont. Inc Provider ID: 531116 1110 University Ave Honolulu, HI 96826 (808) 638-8700 Inc Provider ID: 531116 1286 Queen Emma St Honolulu, HI 96815 (808) 638-8700 Inc Provider ID: 531116 Aiea Medical Building 302 C91-2141 Ft Weaver Rd Aiea, HI 96701 (808) 638-8700 Oahu Inc Provider ID: 531116 Hawaii West Hospital Clinical Servi 302 C91-2141 Ft Weaver Rd Ewa Beach, HI 96706 (808) 638-8700 Inc Provider ID: 531116 302 California Ave Ste 212 Wahiawa, HI 96786 (808) 638-8700 Inc Provider ID: 531116 46-001 Kamehameha Hwy Kaneohe, HI 96744 (808) 638-8700 Inc Provider ID: 531116 59-011 Kamehameha Hwy Haleiwa, HI 96712 (808) 638-8700 Inc Provider ID: 531116 66-125 Kamehameha Hwy Haleiwa, HI 96712 (808) 638-8700 Inc Provider ID: 531116 Inc 84-1170 Farrington Hwy Waianae, HI 96792 (808) 695-5428 Inc Provider ID: 531116 89-1170 Farrington Hwy Waianae, HI 96792 (808) 638-8700 Inc Provider ID: 531116 91-2141 Ft Weaver Rd Ewa Beach, HI 96706 (808) 671-8761 2013 Provider Directory 18

PROVIDERS - cont. Behavioral Health Counseling - cont. Inc Provider ID: 531116 New Town Square 98-1247 Kaahumanu St Aiea, HI 96701 (808) 638-8700 Inc Provider ID: 531116 99-128 Aiea Heights Dr Aiea, HI 96701 (808) 484-9359 Oesch, Shannon Provider ID: 702802 1188 Bishop St Ste 1106 (808) 457-6336 Oneal, Scott Provider ID: 527251 1481 S King St Ste 544 (808) 382-3881 Oahu Perez, Karlene Provider ID: 542660 Ld & Adhd of Hawaii 1110 University Ave Ste 504 Honolulu, HI 96826 (808) 955-4775 Po'Ailani Inc Provider ID: 519749 Po'Ailani Inc 553 Kawainui St (808) 263-1065 Po'Ailani Inc Provider ID: 519749 Po'Ailani Inc 74 Kihapai St (808) 261-8741 Quinn, Cynthia Provider ID: 459575 Ola Hou Clinic 98-1247 Kaahumanu St Ste 223 Aiea, HI 96701 (808) 487-5433 Reed, Walter Provider ID: 501890 66-560 Kamehameha Hwy Ste 3B Haleiwa, HI 96712 (808) 852-9646 Robertson, Thomas Provider ID: 553156 Thomas Robertson LCSW 302 California Ave Ste 212 Wahiawa, HI 96786 (808) 386-4964 Robertson, Thomas Provider ID: 553156 Thomas Robertson LCSW 46-001 Kamehameha Hwy Ste 217 Kaneohe, HI 96744 (808) 386-4964 Robertson, Thomas Provider ID: 553156 Thomas Robertson 56-117 Pualalea St Kahuku, HI 96731 (808) 386-4964 Schmidt, Donna Provider ID: 576761 94-229 Waipahu Depot St Ste 404 Waipahu, HI 96797 (808) 676-1192 Silverman, Sara Provider ID: 541579 6600 Kalanianaole Hwy Ste 225 Honolulu, HI 96825 (808) 394-2800 2013 Provider Directory 19

PROVIDERS - cont. Behavioral Health Counseling - cont. Spector, Alan Provider ID: 520297 Alan R Spector LCSW 970 N Kalaheo Ave Ste C208 (808) 729-7737 Sugimoto, Anson Provider ID: 545775 Anson Sugimoto Mft MHC Csac 200 N Vineyard Blvd Ste 420 Honolulu, HI 96817 (808) 351-1586 Tahauri, Erin Provider ID: 570977 1110 University Ave Ste 504 Honolulu, HI 96826 (808) 955-4775 The Alcoholic Rehab Services of Hawaii Provider ID: 531673 45-845 Pookela St Kaneohe, HI 96744 (808) 236-2600 Oahu The Alcoholic Rehab Services of Hawaii Provider ID: 531673 Hina Mauka 94-216 Farrington Hwy Ste 333 Waipahu, HI 96797 (808) 671-6900 Wade, Darlene Provider ID: 510258 Terence C Wade PHD Inc 1188 Bishop St Ste 3202 (808) 545-7706 Watanabe, Karen Provider ID: 486904 1481 S King St Ste 448 (808) 949-7759 Williams, Bridgit Provider ID: 579664 4075D Guadalcanal Ave Kapolei, HI 96707 (808) 479-7671 Wolf, Robert Provider ID: 468217 1188 Bishop St Ste 1306 (808) 587-0242 Wolf, Robert Provider ID: 468217 314 Uluniu St (808) 722-0688 Neuropsychology Spina, Laila Provider ID: 636778 Pacific Neuropsychology Services 1188 Bishop St Ste 3509 (808) 599-7676 Psychiatry Adair-Leland, Jean Provider ID: 486602 Kapiolani Womens and Childrens 55 Merchant St 22nd Fl (808) 535-7700 Alicata, Daniel Provider ID: 477114 Ucera Dept of Psychiarty 1301 Punchbowl St (808) 586-5904 2013 Provider Directory 20

PROVIDERS - cont. Psychiatry - cont. Alicata, Daniel Provider ID: 477114 The Queens Medical 1374 Nuuanu Ave Honolulu, HI 96817 (808) 547-4401 Amjadi, Darius Provider ID: 459425 1380 Lusitana St Ste 511 (808) 593-4433 Andaya, Cheryl Provider ID: 486608 Kapiolani Womens and Childrens 55 Merchant St 22nd Fl (808) 535-7700 Baumel, Lee Provider ID: 459436 1188 Bishop St (808) 262-9931 Baumel, Lee Provider ID: 459436 314 Uluniu St (808) 262-9931 Oahu Buffenstein, Alan Provider ID: 463747 1100 Ward Ave Ste 1070 (808) 548-5400 Bullen, Doris Provider ID: 476380 1150 S King St Ste 302 (808) 782-2097 Charlton, Kimberly Provider ID: 539018 40 Aulike St Ste 411 (808) 664-1104 Charlton, Kimberly Provider ID: 539018 640 Ulukahiki St Kaneohe, HI 96744 (808) 664-1104 Collis, Robert Provider ID: 503995 Robert Collis MD Inc 1188 Bishop St Ste 607 (808) 531-9099 Davidson, Raymond Provider ID: 691232 1100 Ward Ave Ste 1070 (808) 386-6851 Dee, Peter Provider ID: 458020 1520 Liliha St Ste 501 Honolulu, HI 96817 (808) 531-0022 Goto, Wayne Provider ID: 478440 1600 Kapiolani Blvd Ste 1306 (808) 949-7444 Heintz, Perry Provider ID: 487060 Heintz Perry 1188 Bishop St Ste 3111 (808) 532-0660 Hyman, Robert Provider ID: 510953 Robert A Hyman MD LLC 1188 Bishop St Ste 3311 (808) 738-5601 Kai, Mutsuoki Provider ID: 519075 St Lukes Clinic Ala Moana 1441 Kapiolani Blvd Ste 2000 (808) 945-3719 2013 Provider Directory 21

PROVIDERS - cont. Psychiatry - cont. Kai, Mutsuoki Provider ID: 519075 Kalihi Palama Health 350 Sumner St Honolulu, HI 96817 (808) 531-6322 Kai, Mutsuoki Provider ID: 519075 Kalihi Palama Health 546 Kaaahi St Honolulu, HI 96817 (808) 791-6342 Kim, Oksuk Provider ID: 459557 1188 Bishop St Ste 3005 (808) 521-5990 Kim, Seungtai Provider ID: 458851 1188 Bishop St Ste 3005 (808) 286-4082 Kiss, Susan Provider ID: 462730 2875 S King St Ste 203 Honolulu, HI 96826 (808) 944-6900 Oahu Komeya, Michael Provider ID: 537565 550 Halekauwila St Ste 307 (808) 545-5902 Kracher, Stacy Provider ID: 658715 Helping Hands Hawaii 2100 N. Nimitz Hwy Honolulu, HI 96819 (808) 440-3882 Kuszmider, Rudolf Provider ID: 491396 438 Hobron Ln Ste 307 Eaton Square Honolulu, HI 96815 (808) 218-1284 Lind, Dennis Provider ID: 465223 1600 Kapiolani Blvd Ste 1306 (808) 949-7444 Luk, Selene Provider ID: 537652 Kapiolani Medical Specialists 1319 Punahou St Ste 950 Honolulu, HI 96826 (808) 983-6100 Luke, Kenneth Provider ID: 480495 Psychiatric Associates LTD 600 Kapiolani Blvd Ste 402 (808) 537-2665 Maciejewski, Simone Provider ID: 486745 Kapiolani Womens and Childrens 55 Merchant St 22nd Fl (808) 535-7600 Mikami, Susan Provider ID: 691723 Kapiolani Medical Specialists 1319 Punahou St Ste 950 Honolulu, HI 96826 (808) 983-6000 Murphy, Alvin Provider ID: 584472 1110 University Ave Ste 403 Honolulu, HI 96826 (808) 223-6528 Okumoto, Clifford Provider ID: 461574 615 Piikoi St Ste 1603 (808) 596-8778 2013 Provider Directory 22

PROVIDERS - cont. Psychiatry - cont. Patel, Sonia Provider ID: 486724 3615 Harding Ave Ste 510 Honolulu, HI 96816 (808) 737-4400 Peck, Joel Provider ID: 474552 590 Farrington Hwy Ste 210-307 Kapolei, HI 96707 (808) 485-5855 Peck, Joel Provider ID: 474552 Joel Peck MD 99-115 Aiea Heights Dr Ste 219A Aiea, HI 96701 (808) 485-5855 Peck, Joel Provider ID: 474552 99-128 Aiea Heights Dr Ste 202 Aiea, HI 96701 (808) 485-5855 Pien, Ethan Provider ID: 504752 Pien Ethan C T MD 1010 S King St Ste 111 (808) 597-8765 Oahu Rudlowski, Peter Provider ID: 450104 438 Hobron Ln Honolulu, HI 96815 (808) 947-2224 Sharipova, Elena Provider ID: 511119 Elena Sharipova MD 302 California Ave Ste 212 Wahiawa, HI 96786 (808) 772-6453 Sharipova, Elena Provider ID: 511119 Elena Sharipova MD 91-2141 Fort Weaver Rd Ste 185 Ewa Beach, HI 96706 (808) 772-6453 Sharipova, Elena Provider ID: 511119 Elena Sharipova MD 99-128 Aiea Heights Dr Aiea, HI 96701 (808) 772-6453 Shimizu, Annette Provider ID: 486812 Straub Clinic & Hospital 1100 Ward Ave Ste 840 (808) 522-4521 Sliwowski, Donna Provider ID: 504373 928 Nuuanu Ave Ste 112 Honolulu, HI 96817 (808) 538-2609 Smith, Douglas Provider ID: 445538 1188 Bishop St Ste 3007 (808) 599-3922 Tanahashi, Dan Provider ID: 501576 425 South St Ste 3801 (808) 345-7778 Tom, David Provider ID: 458254 Straub Clinic & Hospital 1100 Ward Ave Ste 840 (808) 522-4521 Tran, Phuong Thuy Provider ID: 486843 Kapiolani Womens and Childrens 55 Merchant St 22nd Fl (808) 535-7600 2013 Provider Directory 23

PROVIDERS - cont. Psychiatry - cont. Trockman, Gordon Provider ID: 465040 354 Uluniu St Ste 410 (808) 263-9488 Varady, Lothar Provider ID: 459609 642 Ulukahiki St (808) 735-0665 Vellanki, Vijaya Provider ID: 458256 Straub Clinic & Hospital 1100 Ward Ave Ste 840 (808) 522-4521 Wai, Angela Provider ID: 445619 99-115 Aiea Heights Dr Ste 207 Aiea, HI 96701 (808) 486-9229 Wu, Edward Provider ID: 445509 46-001 Kamehameha Hwy Ste 304 Kaneohe, HI 96744 (808) 235-8546 Oahu Yuen, Greg Provider ID: 480488 1188 Bishop St Ste 806 (808) 599-5050 Zen, Mark Provider ID: 505008 Mark K K Zen. MD 1345 S Beretania St Ste 302 (808) 591-6599 Psychology Adam-Terem, Rosemary Provider ID: 459420 1833 Kalakaua Ave Ste 800 Honolulu, HI 96815 (808) 955-7372 Akamine, Hale S Provider ID: 507390 Family Ministries 1585 Kapiolani Blvd Ste 940 (808) 592-2500 Armstrong, Amanda Provider ID: 460342 1600 Kapiolani Blvd Ste 1650 (808) 951-5540 Barham, Martha Provider ID: 510257 Martha Barham R N PHD 615 Piikoi St Ste 2002 (808) 591-6296 Bautista-Torres, Joanne Provider ID: 710653 Joanne Bautista Torres PsyD LLC 119 Merchant St Ste 605 (808) 646-1322 Beardsley, Rebecca Provider ID: 505005 1833 Kalakaua Ave Ste 503 Honolulu, HI 96815 (808) 222-6435 Beardsley, Rebecca Provider ID: 505005 845 22nd Ave Honolulu, HI 96816 (808) 222-6435 Beck, Henry Provider ID: 652022 Henry Beck PsyD LLC 928 Nuuanu Ave Ste LL2 Honolulu, HI 96817 (808) 538-2800 2013 Provider Directory 24

PROVIDERS - cont. Psychology - cont. Bernisto, Conrad Provider ID: 704315 94-141 Mokao St Waipahu, HI 96797 (808) 282-1907 Beuret, Terry Provider ID: 493634 970 N Kalaheo Ave Ste A314 (808) 389-0188 Bianchi, F Peter Provider ID: 464553 1600 Kapiolani Blvd Ste 1306 (808) 949-7444 Boggs, Minnie Provider ID: 506920 Minnie E. Boggs PHD 3266 Alani Dr Honolulu, HI 96822 (808) 988-0000 Brennan, Jerry Provider ID: 450193 651 Kaumakani St Honolulu, HI 96825 (808) 538-0343 Oahu Bressem, Michael Provider ID: 450195 Ola Hou Clinic 98-1247 Kaahumanu St Ste 223 Aiea, HI 96701 (808) 487-5433 Bridge, Michael Provider ID: 446116 1188 Bishop St Ste 2605 (808) 526-2605 Burnett, Donna Provider ID: 499765 Donna E Burnett PsyD 415 Ilimano St (808) 254-8080 Burnett, Donna Provider ID: 499765 45-955 Kamehameha Hwy Ste 202 Kaneohe, HI 96744 (808) 254-8080 Canubida, Nancy Provider ID: 584235 91-1121 Kiwi St Ewa Beach, HI 96706 (808) 689-8758 Carr, Linda Provider ID: 535189 3705 Waialae Ave Ste 201 Honolulu, HI 96816 (808) 735-2228 Choy, Stephen Provider ID: 455028 1314 S King St Ste 720 (808) 593-8484 Cynn, Virginia Provider ID: 475540 1221 Kapiolani Blvd Ste 830 (808) 593-9222 Donkervoet, John Provider ID: 518399 John C Donkervoet PHD LLC 46-001 Kamehameha Hwy Ste 409 Kaneohe, HI 96744 (808) 371-5539 Eagan, Amy Provider ID: 487079 Amy Eagan PHD 328 Uluniu St Ste 203 (808) 262-7799 2013 Provider Directory 25

PROVIDERS - cont. Psychology - cont. Eastwood, Pratibha Provider ID: 457911 2507 Rainbow Dr Honolulu, HI 96822 (808) 595-4673 Edwards, Laurie Provider ID: 582173 40 Aulike St Ste 411 (808) 772-0423 Elting, Dirk Provider ID: 552756 Acceptance and Change Psychotherapy 46 001 Kamehameha Hwy Ste 409 Kaneohe, HI 96744 (808) 236-3222 Fisher, Jane Provider ID: 459065 1188 Bishop St Ste 2302 (808) 524-3398 Fitzgerald, Janet Provider ID: 515064 1615 Mahani Loop Honolulu, HI 96819 (808) 386-8630 Oahu Garrett, Catherine Provider ID: 455173 98-211 Pali Momi St Ste 810 Aiea, HI 96701 (808) 485-2800 Getschmann-Padua, Becky Provider ID: 473192 1418 Akupa St (808) 261-5517 Gino, Antonio Provider ID: 514309 Gino Clinic 1154 Fort St Mall Ste 206 (808) 528-1184 Gitter, Olaf Provider ID: 473936 Chrysalis Institute 1350 S King St Ste 325 (808) 591-9116 Gitter, Olaf Provider ID: 473936 Chrysalis Institute 615 Piikoi St Ste 1603 (808) 596-8778 Glass, Thomas Provider ID: 461856 615 Piikoi St Ste 1603 (808) 596-8778 Goya, Lynn Provider ID: 563726 Psychological Services LLC 1833 Kalakaua Ave Ste 800 Honolulu, HI 96815 (808) 955-7372 Granzotto, Daniela Provider ID: 458864 319 A Cane St Wahiawa, HI 96786 (808) 265-5791 Guay, Peter Provider ID: 465462 3615 Harding Ave Ste 304 Honolulu, HI 96816 (808) 732-5633 Guo, John Provider ID: 458133 Straub Clinic & Hospital 1100 Ward Ave Ste 840 (808) 522-4521 2013 Provider Directory 26

PROVIDERS - cont. Psychology - cont. Harding, Charles Provider ID: 611748 Hawaii Pacific Neuroscience 642 Ulukahiki St Ste 300 (808) 261-4476 Hashimoto, Scott Provider ID: 453697 1188 Bishop St Ste 2801 (808) 429-4432 Horn, Mary Provider ID: 459487 45-955 Kamehameha Hwy Ste 306 Kaneohe, HI 96744 (808) 247-2961 Hosenfeld, Charlene Provider ID: 458833 328 Uluniu St Ste 207 (808) 261-4305 Huynh, Ann Provider ID: 510783 Healthy Horizon LLC 1441 Kapiolani Blvd (808) 728-2680 Oahu Ignacio, Lawrie Provider ID: 709938 Lawrie A Ignacio PsyD LLC 119 Merchant St Ste 605 (808) 286-2112 Johnson, L Provider ID: 488822 Hawaii For Psychology 1001 Bishop St Ste 925 (808) 538-7793 Kaplan, Aaron Provider ID: 459498 438 Hobron Ln Ste 315 Honolulu, HI 96815 (808) 947-2205 Kariel, Sasha Provider ID: 459499 319A N Cane St Wahiawa, HI 96786 (808) 621-1820 Kim, Tammie Provider ID: 493934 4747 Kilauea Ave Ste 108 Honolulu, HI 96816 (808) 392-6093 Kim, Tammie Provider ID: 493934 84-1170 Farrington Hwy Ste B-1 Waianae, HI 96792 (808) 392-6093 Kiyota, Heide Provider ID: 456658 319A N Cane St Wahiawa, HI 96786 (808) 621-1820 Kou, Michael Provider ID: 450118 Ola Hou Clinic 98-1247 Kaahumanu St Ste Aiea, HI 96701 (808) 487-5433 Kravetz, Richard Provider ID: 552977 Alakai Na Keiki 1100 Alakea St Ste 900 (808) 523-7771 Kravetz, Richard Provider ID: 552977 Alakai Na Keiki Inc 45-1144 Kamehameha Hwy Ste 301B Kaneohe, HI 96744 (808) 523-7771 2013 Provider Directory 27

PROVIDERS - cont. Psychology - cont. Kravetz, Richard Provider ID: 552977 Alakai Na Keiki Inc 84-1170 Farrington Hwy Ste 7 Waianae, HI 96792 (808) 523-7771 Kravetz, Richard Provider ID: 552977 Alakai Na Keiki Inc 98-211 Pali Momi St Ste 610 Aiea, HI 96701 (808) 523-7771 Lau, Lavay Provider ID: 489221 1600 Kapiolani Blvd Ste 620 (808) 942-5778 Levister, Raymond Provider ID: 605850 210 Ward Ave Ste 124 (808) 489-5558 Lindsay, Melissa Provider ID: 477442 981 Aalapapa Dr (808) 261-3311 Oahu Liu-Tom, Hsin-Tine Provider ID: 473971 1188 Bishop St Ste 1607 (808) 781-5607 Loos, Warren Provider ID: 488848 1188 Bishop St Ste 1208 (808) 734-2897 Loos, Warren Provider ID: 488848 500 Ala Moana Blvd 1 Waterfront Plaza Ste 302 (808) 528-3657 Lopez, Carolyn Provider ID: 629521 401 Kamakea St Ste 405 (808) 341-4338 Lum, Kristina Provider ID: 548766 Lum 1188 Bishop St Ste 1810 (808) 235-3121 Lunnon, Carrie Provider ID: 459569 145 Lehua St Unit C Wahiawa, HI 96786 (808) 375-3213 Marvit, Roben Provider ID: 498036 Roben A Marrit, PHD 929 Pueo St Honolulu, HI 96816 (808) 381-3326 McCallum, Kenneth Provider ID: 444407 1188 Bishop St Ste 3512 (808) 590-1478 McKim, Carol Provider ID: 459539 1833 Kalakaua Ave Ste 908 Honolulu, HI 96815 (808) 955-7778 McLaughlin, Tina Provider ID: 537292 Tina McLaughlin PsyD 606 Coral St (808) 371-7259 Mirin, Azita Provider ID: 694368 55 Merchant St 22nd Fl (808) 535-7600 2013 Provider Directory 28

PROVIDERS - cont. Psychology - cont. Misailidis, Soojean Provider ID: 582098 Kapiolani Medical Specialist 1319 Punahou St Honolulu, HI 96826 (808) 983-6100 Miyamoto, Robin Provider ID: 459541 I Ola Lahui Inc 677 Ala Moana Blvd Ste 904 (808) 525-5625 Myers, Mary Provider ID: 445623 1188 Bishop St Ste 3206 (808) 550-0991 Needels, Terri Provider ID: 471587 615 Piikoi Ste 1603 (808) 596-8778 Orimoto, Lisa Provider ID: 464493 98-211 Pali Momi Ste 635 Aiea, HI 96701 (808) 554-5901 Oahu Ozoa, Claudette Provider ID: 488814 1188 Bishop St Ste 1208 (808) 734-2897 Pangilinan, Renee Provider ID: 571472 Clinical and Counseling Psychology 2525 S King St Ste 311 Honolulu, HI 96826 (808) 949-1555 Pedro, Don Provider ID: 713715 Hawaii Pacific Neuroscience 642 Ulukahiki St Ste 300 (808) 261-4476 Price, Alan Provider ID: 520274 98-211 Pali Momi St Ste 707 Aiea, HI 96701 (808) 351-1639 Reed, Daniel Provider ID: 519280 1188 Bishop St Ste 2302 (808) 536-3600 Rezentes III, William Provider ID: 509477 William C. Rezentes III, PHD 1733 Akaakoa St (808) 262-4994 Rhoades Jr, George Provider ID: 461647 Ola Hou Clinic 98-1247 Kaahumanu St Ste 223 Aiea, HI 96701 (808) 487-5433 Robison, Bradley Provider ID: 496926 Ola Hou Clinic 98-1247 Kaahumanu St Ste 223 Aiea, HI 96701 (808) 487-5433 Roscoe, David Provider ID: 474164 45-1144 Kamehameha Hwy Ste 402 Kaneohe, HI 96744 (808) 234-1119 2013 Provider Directory 29

PROVIDERS - cont. Psychology - cont. Schoenheimer, Joyce Provider ID: 515459 Counseling & Spiritual Care 1020 S Beretania St (808) 545-2740 Shimabukuro, Joann Provider ID: 687082 Hawaii Pacific Neuroscience LLC 642 Ulukahiki St Ste 300 (808) 261-4476 Sine, Larry Provider ID: 459169 1188 Bishop St Ste 2705 (808) 531-1232 Sofra Weiss, Xanya Provider ID: 503932 Creative Arts 7773 Waikapu Loop Honolulu, HI 96825 (808) 222-2664 Strauss, Marilyn Provider ID: 483306 735 Bishop St Ste 302 (808) 537-2869 Oahu Sturgis, Laura Provider ID: 474511 Transformational Living 2851 E Manoa Rd Ste 1-203 Honolulu, HI 96822 (808) 988-6168 Sturgis, Laura Provider ID: 474511 Transformational Living 85-671 Farrington Hwy Waianae, HI 96792 (808) 988-6168 Takahashi, Jennifer Provider ID: 584215 1215 St Ste 203 Honolulu, HI 96816 (808) 271-0200 Takushi-Isara, Sherrie Provider ID: 465029 98-211 Palimomi Ste 606 Aiea, HI 96701 (808) 484-2181 Takushi-Isara, Sherrie Provider ID: 539307 Kapiolani Womens and Childrens 55 Merchant St 22nd Fl (808) 535-7600 Tremayne, Michele Provider ID: 465291 98-211 Pali Momi St Ste 635 Aiea, HI 96701 (808) 497-5996 Tsukamoto, Donna Provider ID: 473231 600 Kapiolani Blvd Ste 408 (808) 540-1941 Tsushima, William Provider ID: 458255 Straub Clinic & Hospital 1100 Ward Ave Ste 840 (808) 522-4521 Twentyman, Craig Provider ID: 486591 Aloha Psychological Services 100 N Beretania St Ste 208 Honolulu, HI 96817 (808) 591-2345 Tyler, Carol Provider ID: 453782 Honolulu Family Therapy Inc 1017 Pawaa Ln Ste C Honolulu, HI 96826 (808) 941-5869 2013 Provider Directory 30

PROVIDERS - cont. Psychology - cont. Unkrur, Paul Provider ID: 478866 401 Kamakee St Ste 405 (808) 591-0281 Vogelmann Sine, Silke Provider ID: 459148 1188 Bishop St Ste 2705 (808) 531-1232 Welch, Rob Provider ID: 459616 615 Piikoi St Ste 1603 (808) 596-8778 Welter, Thomas Provider ID: 618838 Therapy4positivechanges 615 Piikoi St Ste 511 (808) 728-8533 Wetzel, Rob Provider ID: 465372 1600 Kapiolani Blvd Ste 1306 (808) 949-7444 Oahu Wilson, Cyma Provider ID: 623477 Cyma B Wilson PsyD 438 Hobron Ln Ste 315 Honolulu, HI 96815 (808) 256-6518 Witt, Katherine Provider ID: 519090 45-955 Kamehameha Hwy Ste 402 Kaneohe, HI 96744 (808) 497-6456 Woliver, Robert Provider ID: 458925 46-001 Kamehameha Hwy Ste 410 Kaneohe, HI 96744 (808) 235-5577 Wood, Carol Provider ID: 463044 615 Piikoi St Ste 1409 (808) 596-8038 Yoshino, Jason Provider ID: 591067 1360 S Beretania St Ste 218 (808) 664-1104 Substance Abuse Champ Clinic Inc Provider ID: 490709 173 S Kukui St (808) 426-4515 2013 Provider Directory 31

FACILITIES Behavioral Health Facility Big Island Substance Abuse Council Provider ID: 494698 64-1040 Mamalahoa Hwy Ste 101 Kamuela, HI 96743 (808) 887-2175 Community Mental Health State of Hawaii Doh Amhd Provider ID: 506112 West Hawaii Community Mental Health 79-1020 Haukapila St Kealakekua, HI 96750 (808) 322-4818 West Hawaii Community Mental Health Cent Provider ID: 557523 West Hawaii Community Mental Health 79-1020 Haukapila St Kealakekua, HI 96750 (808) 322-4818 West Hawaii Federally Qualified Health West Hawaii Community Health Provider ID: 493039 West Hawaii Community Health 75-5751 Kuakini Hwy Ste 101A Kailua Kona, HI 96740 (808) 326-5629 HOSPITALS Critical Access Hospital Kohala Hospital Provider ID: 338862 54-383 Hospital Rd Kapaau, HI 96755 (808) 889-6211 Hospital Kona Community Hospital Provider ID: 441443 79-1019 Haukapila St Kealakekua, HI 96750 (808) 322-9311 PROVIDERS Behavioral Health Counseling Cassteel, Sindona Provider ID: 614188 68-1776 Niu Haohao Pl Waikoloa, HI 96738 (808) 883-8363 Donovan, Kelly Provider ID: 503855 75 5591 Palani Rd Ste 3006 Kailua Kona, HI 96740 (808) 938-4162 Donovan, Kelly Provider ID: 503855 75-5751 Kuakini Hsy Ste 101 Kailua Kona, HI 96740 (808) 938-4162 Edwards, Annabel Provider ID: 699965 Annabel R Edwards Mft 87-3190 Ea Rd Captain Cook, HI 96704 (808) 756-1372 Koneck, Carolyn Provider ID: 490972 75-5995 Kuakini Hwy Ste 425 Kailua Kona, HI 96740 (808) 329-5115 Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 54-3886 Akoni Pule Hwy Unit 6 Kapaau, HI 96755 (808) 889-5099 2013 Provider Directory 32

PROVIDERS - cont. Behavioral Health Counseling - cont. Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 68-1845 Waikoloa Rd Ste 224B Waikoloa, HI 96738 (808) 883-0922 Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 76-6225 Kuakini Hwy Ste B105 Kailua Kona, HI 96740 (808) 331-1175 Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 95 5649 C Mamalahoa Hwy Naalehu, HI 96755 (808) 883-0922 Sallee, Nancy Provider ID: 470302 Orchid Isle Psychotherapy 79-7460 Mamalahoa Hwy Ste 214 Kealakekua, HI 96750 (808) 324-1815 West Hawaii Smith, Catherine Provider ID: 693206 Catherine Smith LCSW LLC 75-5737 Kuakini Hwy Ste 102 Kailua Kona, HI 96740 (808) 896-4002 Steiner, Alison Provider ID: 658768 Dr Ashley and Associates LLC 75-5744 Alii Dr Ste 237 Kailua Kona, HI 96740 (808) 329-5800 Psychiatry Gramlich, Edwin Provider ID: 511673 Kona Community Hospital 79-1019 Haukapila St Kealakekua, HI 96750 (808) 322-6910 Patrick, Patricia Provider ID: 459570 71-1409 Mamalohoa Hwy Kailua Kona, HI 96740 (808) 325-5522 Psychology Acquaro, Franco Provider ID: 692435 North Hawaii Community Hospital 67-1125 Mamalahoa Hwy Kamuela, HI 96743 (808) 881-4743 Claspell, Emily Provider ID: 702796 Dr Emily L Claspell 62-2186 Ouli St Kamuela, HI 96743 (808) 885-0530 Cumes, Jeffrey Provider ID: 551270 The Family Psychologist Inc 81-6587 Mamalahoa Hwy Kealakekua, HI 96750 (808) 323-9510 Fujioka, Terry Ann Provider ID: 501016 Terry Ann Fujiolca PHD 79-7460 Mamalahoa Hwy Ste 110 Kealakekua, HI 96750 (808) 324-0434 2013 Provider Directory 33

PROVIDERS - cont. Psychology - cont. Ross, Sylvia Provider ID: 705594 Sylvia An Ross PHD LLC 81-6224 Mamalahoa Hwy B3 Captain Cook, HI 96704 (808) 938-2260 Weiss, Roger Provider ID: 493951 75-5744 Alii Dr Ste 239 Kailua Kona, HI 96740 (808) 329-7999 Substance Abuse Bush, Elizabeth Provider ID: 584491 64-5234 Hohola Dr Kamuela, HI 96743 (808) 885-5988 Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 54-3886 Akoni Pule Hwy Unit 6 Kapaau, HI 96755 (808) 889-5099 West Hawaii Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 68-1845 Waikoloa Rd Ste 224B Waikoloa, HI 96738 (808) 883-0922 Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 76-6225 Kuakini Hwy Ste B105 Kailua Kona, HI 96740 (808) 331-1175 Lokahi Treatment s Provider ID: 506670 Lokahi Treatment s 95 5649 C Mamalahoa Hwy Naalehu, HI 96755 (808) 883-0922 2013 Provider Directory 34

Provider Index You may find providers in this index by searching alphabetically by provider name then page number, where you may locate their listing. For the most up-to-date listing of network providers, visit our website at www.wellcare.com. A Acquaro, Franco 33 Adair-Leland, Jean 20 Adamson, David 3 Adam-Terem, Rosemary 24 Aiyana, Kelley 11 Akamine, Hale S 24 Akana, Cheyenne 16 Alicata, Daniel 20, 21 Aloha House Inc 9, 10 Aloha Laboratories Inc 14 Ambrosia, Linda 3 Amjadi, Darius 21 Andaya, Cheryl 21 Anderson, Ula 3 Andrus, Jason 12 Armstrong, Amanda 24 Austin, Beatrice 4 Austin, Kenneth 16 Avery, Rebecca 3 B Baile, Betsy 16 Bailey, Fahy 7 Baldwin, Howard 3 Barham, Martha 24 Barrilleaux, Coral 3 Barthel III, Christopher 4 Bartlemus, Heather 11 Bass, C P 12 Baumel, Lee 21 Bautista-Torres, Joanne 24 Bay Clinic DBA Hilo Family Health 2 Beardsley, Rebecca 24 Beck, Henry 24 Berkey, Trenda 16 Berman, Mitchell 11 Bernisto, Conrad 25 Beuret, Terry 25 Bianchi, F Peter 25 Big Island Substance Abuse Council 2, 14, 32 Boggs, Minnie 25 Brandman, Jd 16 Bratton, Joseph 4 Breithaupt, Mark 12 Brennan, Jerry 25 Bressem, Michael 25 Bridge, Michael 25 Brito, Janet 16 Brittain, Matthew 3 Brown, Genotra 16 Buffenstein, Alan 21 Bullen, Doris 21 Burnett, Donna 25 Bush, Elizabeth 34 C Campbell, Neal 11 Canubida, Nancy 25 Carr, Linda 25 Cassteel, Sindona 32 Castle Medical 15 Central Oahu Cmhc Wahiawa Clinic 14 Champ Clinic Inc 12, 31 Charlton, Kimberly 21 Choy, Stephen 25 Claspell, Emily 33 Collis, Robert 21 Conley, Carol 6 Cooper, Kimberly 4 Couturier, Alton 7 Cumes, Jeffrey 33 Cynn, Virginia 25 D D'Avella, Maria 11 Davidson, Raymond 21 Davis, David 4 Dee, Peter 21 Delano, Caroline 3 Demandel-Schaller, Laurette 6 Diamond Head Community Mental Health Cen 14 Donkervoet, John 25 Donovan, Kelly 32 E Eagan, Amy 25 East Hawaii Community Mental Health Cent 2 Eastwood, Pratibha 26 2013 Provider Directory 35

E - cont. Edwards, Annabel 32 Edwards, Laurie 26 Elting, Dirk 26 Emiliano, Sherilynn 16 F Feuer, Carrie 16 Fisher, Jane 26 Fitzgerald, Janet 26 Foley, Michael 6 Frauens, Anne 16 Friedman, George 12 Fujioka, Terry Ann 33 G Garrett, Catherine 26 Getschmann-Padua, Becky 26 Gino, Antonio 26 Gitter, Olaf 26 Glass, Thomas 26 Glen, Bruce 12 Goto, Wayne 21 Goya, Lynn 26 Graham, Jere 6 Gramlich, Edwin 33 Granzotto, Daniela 26 Guay, Peter 26 Guo, John 26 H Hale Hoola Hamakua 2 Hall, James 8 Hamakua Health Inc 2 Hana Health 10 Hansen, Bruce 4 Harding, Charles 27 Provider Index Hashimoto, Don 5 Hashimoto, Scott 27 Hayward, Julie 6 Heaster, John 4 Heintz, Perry 21 Helping Hands Hawaii 17 Hilo Medical 3 Himes, Eleanor 11 Holter, Teri 11 Ho'Omau Ke Ola I 17 Horn, Mary 27 Horne, Robert 8 Hosenfeld, Charlene 27 Huynh, Ann 27 Hyman, Robert 21 I Ignacio, Lawrie 27 Imua Family Services 10 Ingenito, Christina 3 J Jacobs, Karl 12 Jay, Martha 7 Johnson, L 27 K Kahi Mohala Hospital 15 Kahuku Medical 15 Kai, Mutsuoki 21, 22 Kalihi Palama Health 15 Kaneshiro, Lisa 5 Kapiolani Med For Women and Children 15 Kaplan, Aaron 27 Kariel, Sasha 27 Kau Hospital 2, 3 Kauai Community Mental Health 6 Kauai Veterans Memorial Hospital 6 Kaulia, Rhesa 17 Ke Ola Mamo 14 Kennedy, James 12 Kiehl, Julia 17 Kim, Oksuk 22 Kim, Seungtai 22 Kim, Tammie 27 Kinimaka, Teri-Ann 17 Kiss, Susan 22 Kiyota, Heide 27 Klein, Cynthia 17 Kmcwc OB/GYN Clinic 14 Kmcwc Peds Clinic 14 Kohala Hospital 32 Kokua Kalihi Valley 15 Komeya, Michael 22 Kona Community Hospital 32 Kondo, Glenn 3 Koneck, Carolyn 32 Koolauloa Community Health and Wellness 15 Kosel, Sandra 12 Kou, Michael 27 Koyanagi, Chad 4 Kracher, Stacy 22 Kravetz, Richard 27, 28 Ku Aloha Ola Mau 17 Kuakini Medical 16 Kula Hospital 10 Kuszmider, Rudolf 22 2013 Provider Directory 36

K - cont. Kvmh DBA West Kauai Clinic -Waimea 6 L Lanai Community Health 9 Lanai Community Hospital 9 Lau, Earl 17 Lau, Lavay 28 Lee, Devon 5 Lee, Priscilla 3 Levister, Raymond 28 Lind, Dennis 22 Lindsay, Melissa 28 Liu-Tom, Hsin-Tine 28 Lokahi Treatment s 3, 4, 5, 32, 33, 34 Loos, Warren 28 Lopez, Carolyn 28 Lowenthal, Dawn 11 Luk, Selene 22 Luke, Kenneth 22 Lum, Kristina 28 Lunnon, Carrie 28 M Maciejewski, Simone 22 Makaha Community Mental Health 14 Manuwai, Joddy 17 Marsh, Carol 8 Marvit, Roben 28 Matsunami, Margaret 5 Maui Community Mental Health Lana 9 Provider Index Maui Community Mental Health -Wail 10 Maui Memorial Medical 11 Maui Youth and Family Services Inc 10 McCallum, Kenneth 28 McGrath, Suwan 12 McGue, David 17 McKim, Carol 28 McLaughlin, Tina 28 Mikami, Susan 22 Mirin, Azita 28 Misailidis, Soojean 29 Miyamoto, Robin 29 Molokai Community Health 13 Molokai General Hospital 13 Murphy, Alvin 22 Myers, Mary 29 N Navarro, Mary 7 Neal, Patricia 11 Needels, Terri 29 Inc 18, 19 Novak, Allen 4 O Oesch, Shannon 19 Okumoto, Clifford 22 Oneal, Scott 19 Orimoto, Lisa 29 Ozoa, Claudette 29 P Pali Momi Medical 16 Pangilinan, Renee 29 Patel, Sonia 23 Patrick, Patricia 33 Peck, Joel 23 Pedro, Don 29 Perez, Karlene 19 Pien, Ethan 23 Po'Ailani Inc 19 Presbrey, Theresia 5 Price, Alan 29 Q Quinn, Cynthia 19 R Reed, Daniel 29 Reed, Walter 19 Reid, Rebekah 7 Rezentes III, William 29 Rhoades Jr, George 29 Ridley, David 4 Roberts, Riggs 12 Robertson, Thomas 19 Robison, Bradley 29 Roscoe, David 29 Rosen, Eliot 4 Ross, Sylvia 34 Rudlowski, Peter 23 S Sallee, Nancy 33 Sampsell, Jb Michael 7 Samuel Mahelona Memorial Hospital 6 Schmidt, Donna 19 Schoenheimer, Joyce 30 Seales, Allison 13 2013 Provider Directory 37