NPIMap

Organization Active NPI

Ohana Mua Behavioral Therapy

  • Behavior Analyst
  • Kapolei, HI
National Provider Identifier
1164901344
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
185 Issued in HI
Legal business name
OHANA MUA BEHAVIORAL THERAPY
Practice address
590 Farrington Hwy Unit 524-226
Kapolei, HI 96707-2009
Phone
(808) 762-9785
Fax
(808) 441-7729
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Dr. Ani G Nikolova, PHDNPI 1083936314
Title
Executive Director
Phone
(808) 762-9785

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
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 185 HI Primary

Addresses

Primary practice location

590 Farrington Hwy Unit 524-226
Kapolei, HI 96707-2009

Mailing address

590 Farrington Hwy Unit 524-226
Kapolei, HI 96707-2009

Other practice location 1

1253 S Beretania St Ste 2815
Honolulu, HI 96814-1822
Phone (808) 762-9785

National Provider Directory

National Provider Directory

Locations

1253 S Beretania St
Ste 2815
Honolulu, HI 96814
Phone (808) 762-9785

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1164901344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY UNIT 524-226",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY UNIT 524-226",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072009",
            "telephone_number": "808-762-9785",
            "fax_number": "808-441-7729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1253 S Beretania St Ste 2815",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141822",
            "country_code": "US",
            "telephone_number": "808-762-9785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHANA MUA BEHAVIORAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "NIKOLOVA",
        "authorized_official_first_name": "ANI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-762-9785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.