Mauna Kea Sky Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFT 423 Issued in HI

Legal business name

MAUNA KEA SKY COUNSELING LLC

Practice address

64-1040 Mamalahoa Hwy
Suite 202
Kamuela, HI 96743-8450

Phone

(808) 937-7323

Fax

(808) 933-3601

NPI assigned

Mar 3, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Paul Joseph Sulla III, MFT, CSACNPI 1376966804

Title

Manager, Therapist

Phone

(808) 937-7323

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Joseph Sulla III, MA, MFT

  • Marriage & Family Therapist
  • Hilo, HI
  • NPI 1376966804
  NPD (past) Authorized official

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1154861573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1514",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967271514",
            "telephone_number": "808-937-7323",
            "fax_number": "808-933-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1040 MAMALAHOA HWY",
            "address_2": "SUITE 202",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438450",
            "telephone_number": "808-937-7323",
            "fax_number": "808-933-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUNA KEA SKY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "SULLA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER, THERAPIST",
        "authorized_official_telephone_number": "808-937-7323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MFT, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "MFT 423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lewis Martin Sr., MD
• John Anthony Mascaro, PHD
• Gabriella Mata
• Mauna Kea Dental LLC
• Mauna Kea Medical LLC
• Milleno Dayzen Mavaega
• Judea Leigh McAnesby, PSYD
• Maureen McLaughlin, L.AC.
• David Hugh McNaughton, M.D.
• Medstream Anesthesia Hawaii, LLC

• Community/Behavioral Health Agency in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Community/Behavioral Health Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.