Organization Active NPI

Kaiao Ola Integrative Healing, LLC

  • Marriage & Family Therapist
  • Kamuela, HI
National Provider Identifier
1194183723
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT - 262 Issued in HI
Legal business name
KAIAO OLA INTEGRATIVE HEALING, LLC
Practice address
65-1298B Kawaihae Rd
Suite 21
Kamuela, HI 96743-7342
Phone
(808) 937-9699
Fax
(808) 885-5050
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Madelyn Bruno-Kidani, LMFT
Title
Member
Phone
(808) 937-9699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFT - 262 HI Primary

Addresses

Primary practice location

65-1298B Kawaihae Rd
Suite 21
Kamuela, HI 96743-7342

Mailing address

PO Box 2099
Kamuela, HI 96743-2099

National Provider Directory

National Provider Directory

Locations

65-1298B Kawaihae Rd
Ste 21
Kamuela, HI 96743
Phone (808) 937-9699

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1194183723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2099",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967432099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1298B KAWAIHAE RD",
            "address_2": "SUITE 21",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437342",
            "telephone_number": "808-937-9699",
            "fax_number": "808-885-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIAO OLA INTEGRATIVE HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "BRUNO-KIDANI",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-937-9699",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT - 262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.