NPIMap

Organization Active NPI

Maui Center for Child Development, Inc.

  • Pediatric Occupational Therapist
  • Kahului, HI
National Provider Identifier
1003136433
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
222 Issued in HI
Legal business name
MAUI CENTER FOR CHILD DEVELOPMENT, INC.
Practice address
244 Papa PL
Suite 102
Kahului, HI 96732-2988
Phone
(808) 873-7700
Fax
(808) 873-7710
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Dawn K Blake, O.T.NPI 1891015236
Title
President
Phone
(808) 873-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 222 HI Primary

Addresses

Primary practice location

244 Papa PL
Suite 102
Kahului, HI 96732-2988

Mailing address

PO Box 1379
Puunene, HI 96784-1379
Phone (808) 873-7700

National Provider Directory

National Provider Directory

Locations

244 Papa Pl
Ste 102
Kahului, HI 96732
Phone (808) 873-7700

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1003136433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1379",
            "city": "PUUNENE",
            "state": "HI",
            "postal_code": "967841379",
            "telephone_number": "808-873-7700",
            "fax_number": "808-873-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 PAPA PL",
            "address_2": "SUITE 102",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322988",
            "telephone_number": "808-873-7700",
            "fax_number": "808-873-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI CENTER FOR CHILD DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-873-7700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "HI",
            "license": "222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.