Pacific Autism Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PACIFIC AUTISM CENTER

Practice address

670 Auahi St Ste A6
Honolulu, HI 96813-5166

Phone

(808) 523-8188

Fax

(808) 523-1687

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne Lyle

Title

Therapist

Phone

(808) 523-8188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1154569770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 AUAHI ST STE A6",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135166",
            "telephone_number": "808-523-8188",
            "fax_number": "808-523-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 AUAHI ST STE A6",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135166",
            "telephone_number": "808-523-8188",
            "fax_number": "808-523-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "808-523-8188",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Pacheco
• Meiyi Kiyoko Angel Pacheco, LCSW
• Travis Thame Pacheco
• Pacific Anesthesia, Inc
• Pacific ASC LLC
• Pacific Autism Center
• Pacific Autism Center
• Pacific Autism Center
• Pacific Cardiology LLC
• Pacific Centre for Family Health and Wellness Corp

• Early Intervention Provider Agency in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Early Intervention Provider Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.