Organization Active NPI

Maui Behavioral Health Services, Inc.

  • Clinical Social Worker
  • Wailuku, HI
National Provider Identifier
1235639154
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3066 Issued in HI
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

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Robert Dudley Lanser Jr., LCSWNPI 1033263785
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
528234MedicaidHI

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.