Organization Active NPI

Center for Peak Brain Performance

  • Psychiatry Physician
  • Makawao, HI
National Provider Identifier
1144995580
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CENTER FOR PEAK BRAIN PERFORMANCE
Practice address
1043 Makawao Ave Ste 205
Makawao, HI 96768-9411
Phone
(808) 572-4500
Fax
(808) 442-1050
NPI assigned
Aug 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Gabrielle Galler-Rimm, MDNPI 1033238779
Title
Owner
Phone
(808) 572-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1043 Makawao Ave Ste 205
Makawao, HI 96768-9411

Mailing address

1043 Makawao Ave Ste 201
Makawao, HI 96768-9468
Phone (808) 572-4500

National Provider Directory

National Provider Directory

Locations

1043 Makawao Ave
Ste 205
Makawao, HI 96768
Phone (808) 572-4500

1043 Makawao Ave
Ste 201
Makawao, HI 96768
Phone (808) 572-4500

Practitioners & affiliated clinicians

Practitioners 3

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": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1144995580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 MAKAWAO AVE STE 201",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689468",
            "telephone_number": "808-572-4500",
            "fax_number": "808-442-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 MAKAWAO AVE STE 205",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689411",
            "telephone_number": "808-572-4500",
            "fax_number": "808-442-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PEAK BRAIN PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "GALLER-RIMM",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-572-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.