Individual provider Active NPI

Christal Martin, RBT

  • Behavior Technician
  • Honolulu, HI
National Provider Identifier
1043680911
Registry record updated Nov 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
19-75052 Issued in HI
Practice address
1330 Ala Moana Blvd Ste 1
Honolulu, HI 96814-4262
Phone
(808) 585-1424
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 19-75052 HI Primary

Addresses

Primary practice location

1330 Ala Moana Blvd Ste 1
Honolulu, HI 96814-4262

Mailing address

909 Ala Lilikoi St
709
Honolulu, HI 96818-2436
Phone (808) 364-8330

Other practice location 1

94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388
Phone (808) 944-2882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19-75052HIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Behavioral Health, LLC CurrentSince Nov 27, 2022 Accepting new patients
Hawaii Behavioral Health, LLC CurrentSince Dec 18, 2022 Accepting new patients

Locations

210 Ward Ave
Ste 219B
Honolulu, HI 96814
Phone (808) 380-4291

1330 Ala Moana Blvd
Ste 1
Honolulu, HI 96814
Phone (800) 585-0379

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669420800000",
    "number": "1043680911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 ALA LILIKOI ST",
            "address_2": "709",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182436",
            "telephone_number": "808-364-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ALA MOANA BLVD STE 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144262",
            "telephone_number": "808-585-1424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-450 Mokuola St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967973388",
            "country_code": "US",
            "telephone_number": "808-944-2882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTAL",
        "name_prefix": "Miss",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2022-11-26",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "19-75052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.