Kaycee Medina

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

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

Phone

(808) 585-1424

NPI assigned

Dec 21, 2021

Last updated

Nov 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Hawaii Behavioral Health, LLC

  • Marriage & Family Therapist
  • Honolulu, HI
  • NPI 1699430777
  NPD
• Hawaii Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1881742104
  NPD

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1124788963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 PUUNOA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163419"
        },
        {
            "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": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "KAYCEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flora Gadi Medina-Manuel, M.D.
• Candi Medina, RDN
• Cherry Elaine Serafica Medina, APRN
• Farrah Lei Medina
• Joshua Medina
• Violet Rose Medina
• Medipharm Pharmacy
• Medipharm Pharmacy LLC (Medipharm Pharmacy)
• Crystal Medlin, M.A.
• Medquest LLC

• Behavior Technician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.