Active NPI
Christal Martin, RBT
- Behavior Technician
- Honolulu, HI
National Provider Identifier
1043680911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-75052
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19-75052 | HI | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Behavioral Health, LLC | Current | Accepting new patients | |
| Hawaii Behavioral Health, LLC | Current | 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.
-
- Marriage & Family Therapist
- Honolulu, HI
- NPI 1699430777
-
- Community/Behavioral Health Agency
- Honolulu, HI
- NPI 1881742104
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.