Individual provider Active NPI

Emily Oyamot

  • Behavior Technician
  • Lihue, HI
National Provider Identifier
1053982140
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB472651 Issued in HI
Practice address
1895 Haleukana St
Lihue, HI 96766-9072
Phone
(808) 346-6690
Fax
(888) 461-0904
NPI assigned
Jul 8, 2021
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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 BACB472651 HI Primary

Addresses

Primary practice location

1895 Haleukana St
Lihue, HI 96766-9072

Mailing address

4151 Momi St
Kilauea, HI 96754-5312
Phone (808) 346-6690

Other identifiers 1

IdentifierTypeStateIssuer
BACB472651OtherHIREGISTERED BEHAVIOR TECHNICIAN

Other names 1

  • Emily Warwick Former name

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
BACB472651HIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pakolea Support Services CurrentSince Jul 17, 2021 Accepting new patients
Pakolea Support Services CurrentSince Oct 5, 2021 Accepting new patients

Locations

1895 Haleukana St
Lihue, HI 96766
Phone (808) 346-6690

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1053982140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 MOMI ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545312",
            "telephone_number": "808-346-6690",
            "fax_number": "888-461-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 HALEUKANA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967669072",
            "telephone_number": "808-346-6690",
            "fax_number": "888-461-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYAMOT",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "BACB472651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED BEHAVIOR TECHNICIAN",
            "identifier": "BACB472651",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "WARWICK",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.