Hawaii Emdr LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

HAWAII EMDR LLC

Practice address

5-4280 Kuhio Hwy
Princeville, HI 96722

Phone

(808) 639-9236

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Brittni Brooks, LMFTNPI 1619420288

Title

Owner

Phone

(808) 639-9236

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brittni Brooks

  • Marriage & Family Therapist
  • Princeville, HI
  • NPI 1619420288
  NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1003541889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223035",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "967223035",
            "telephone_number": "808-639-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5-4280 KUHIO HWY",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "96722",
            "telephone_number": "808-639-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII EMDR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "BRITTNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-639-9236",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Princeville, HI
• Providers in Princeville, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.