NPIMap

Organization Active NPI

Kids Behavioral Health of Hawaii, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hilo, HI
National Provider Identifier
1124145149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
KIDS BEHAVIORAL HEALTH OF HAWAII, INC.
Practice address
440 Kapiolani St
Hilo, HI 96720-3937
Phone
(808) 961-6635
Fax
(808) 961-6925
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pat Jones
Title
Director of Patient Financial Servi
Phone
(770) 777-2265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

440 Kapiolani St
Hilo, HI 96720-3937

Mailing address

11175 Cicero Dr
Suite 300
Alpharetta, GA 30022-1148
Phone (770) 754-5232

Other names 1

  • Acadia Hawaii Doing business as

National Provider Directory

National Provider Directory

Locations

11175 Cicero Dr
Ste 300
Alpharetta, GA 30022
Phone (770) 663-1536

440 Kapiolani St
Hilo, HI 96720
Phone (808) 961-6635

Practitioners & affiliated clinicians

Practitioners 4

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124145149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 CICERO DR",
            "address_2": "SUITE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221148",
            "telephone_number": "770-754-5232",
            "fax_number": "770-776-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 KAPIOLANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203937",
            "telephone_number": "808-961-6635",
            "fax_number": "808-961-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS BEHAVIORAL HEALTH OF HAWAII, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT FINANCIAL SERVI",
        "authorized_official_telephone_number": "770-777-2265"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadia Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.