Provider Demographics
NPI:1861544025
Name:BRIONES, MARIA (PHD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:BRIONES
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 1:5473 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:
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-673103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI507832-01Medicaid
HI234518OtherHMSA
HI481900OtherVALUE OPTIONS
HI9172-01OtherPACIFICARE
HI50783201OtherALOHACARE
HI9172-01OtherPACIFICARE