NPIMap

Organization Active NPI

Benchmark Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Pearl City, HI
National Provider Identifier
1346476942
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BENCHMARK BEHAVIORAL HEALTH
Practice address
2501 Waimano Home Rd
Pearl City, HI 96782-1478
Phone
(808) 454-1411
NPI assigned
Jun 9, 2009
Last updated
Apr 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Stephen BlotzkeNPI 1982854709
Title
Program Director
Phone
(808) 454-1411

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
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

2501 Waimano Home Rd
Pearl City, HI 96782-1478

Mailing address

2501 Waimano Home Rd
P. O. Box 1196
Pearl City, HI 96782-1478
Phone (808) 454-1411

National Provider Directory

National Provider Directory
Tax ID family
Benchmark Behavioral Health System Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2501 Waimano Home Rd
Pearl City, HI 96782
Phone (808) 454-1411

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1346476942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WAIMANO HOME RD",
            "address_2": "P. O. BOX 1196",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821478",
            "telephone_number": "808-454-1411",
            "fax_number": "808-454-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WAIMANO HOME RD",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821478",
            "telephone_number": "808-454-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "BLOTZKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "808-454-1411"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.