NPIMap

Organization Active NPI

Behavioral Health Services of Maui, LLC

  • Community/Behavioral Health Agency
  • Wailuku, HI
National Provider Identifier
1316569296
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEHAVIORAL HEALTH SERVICES OF MAUI, LLC
Practice address
1787 Wili PA Loop Ste 7
Wailuku, HI 96793-1271
Phone
(808) 249-2213
NPI assigned
May 13, 2020
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
David Wittenberg, PSYDNPI 1295800639
Title
Member
Phone
(808) 281-6284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1787 Wili PA Loop Ste 7
Wailuku, HI 96793-1271

Mailing address

PO Box 1406
Wailuku, HI 96793-6406

Other practice location 1

270 Hookahi St Ste 212
Wailuku, HI 96793-1466
Phone (808) 249-2213

National Provider Directory

National Provider Directory

Locations

1787 Wili Pa Loop
Ste 7
Wailuku, HI 96793
Phone (808) 249-2121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1316569296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967936406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 WILI PA LOOP STE 7",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931271",
            "telephone_number": "808-249-2213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Hookahi St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967931466",
            "country_code": "US",
            "telephone_number": "808-249-2213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES OF MAUI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "WITTENBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-281-6284",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 13, 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.