Active NPI
Maui Behavioral Health Services, Inc.
- Clinical Social Worker
- Wailuku, HI
National Provider Identifier
1235639154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3066
- Legal business name
- MAUI BEHAVIORAL HEALTH SERVICES, INC.
- Practice address
- 270 Hookahi St Ste 212
Wailuku, HI 96793-1466 - Phone
- (808) 280-4842
- NPI assigned
- Feb 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Dudley Lanser Jr., LCSW
- Title
- President
- Phone
- (808) 280-4842
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3066 | HI | Primary |
Addresses
Primary practice location
270 Hookahi St Ste 212
Wailuku, HI 96793-1466
Mailing address
PO Box 337
Kihei, HI 96753-0337
Phone (808) 280-4842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528234 | Medicaid | HI |
National Provider Directory
National Provider DirectoryLocations
270 Hookahi St
Ste 212
Wailuku, HI 96793
Phone (808) 249-2213
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Wailuku, HI
- NPI 1033263785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518739200000",
"number": "1235639154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "KIHEI",
"state": "HI",
"postal_code": "967530337",
"telephone_number": "808-280-4842",
"fax_number": "855-413-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 HOOKAHI ST STE 212",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931466",
"telephone_number": "808-280-4842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAUI BEHAVIORAL HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A",
"authorized_official_last_name": "LANSER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DUDLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-280-4842",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528234",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
- Maria A. Matijasevic, MD
- Valerie MK Matsunaga, PHARMD
- Koalaanuheamaikalani Matsuoka
- Kai Matthes, M.D., PH.D.
- Maui a.I.D.S. Foundation
- Maui Breastfeeding Support, Inc
- Maui Cancer Clinic, Inc.
- Maui Christian Counseling Professional Corporation
- Maui Day Care Center for Senior Citizens and Disabled, Inc.
- Maui Dental Professionals LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.