Organization Active NPI

Autism Services Kauai LLC

  • Psychologist
  • Kapa'a, HI
National Provider Identifier
1346763836
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-873 Issued in HI
Legal business name
AUTISM SERVICES KAUAI LLC
Practice address
4-1558 Kuhio Hwy
Kapaa, HI 96746-1856
Phone
18088212027
Fax
(808) 821-2028
NPI assigned
Jul 17, 2017
Last updated
Jul 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Authorized official

Name
Tanya E Gamby, PH.D.NPI 1457412173
Title
Member
Phone
(808) 821-2027

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
Psychologist 103T00000X PSY-873 HI Primary
Behavior Analyst 103K00000X BA-93 HI

Addresses

Primary practice location

4-1558 Kuhio Hwy
Kapaa, HI 96746-1856

Mailing address

4-1558 Kuhio Hwy
Kapaa, HI 96746-1856
Phone (808) 821-2027

Other identifiers 1

IdentifierTypeStateIssuer
55958601MedicaidHI

National Provider Directory

National Provider Directory

Locations

4-1558 Kuhio Hwy
Kapaa, HI 96746
Phone (808) 822-4844

3175 Elua St
Ste B
Lihue, HI 96766
Phone (808) 246-4808

Practitioners & affiliated clinicians

Practitioners 5

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": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1346763836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-1558 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461856",
            "telephone_number": "18088212027",
            "fax_number": "808-821-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-1558 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461856",
            "telephone_number": "18088212027",
            "fax_number": "808-821-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SERVICES KAUAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "GAMBY",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-821-2027",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-873",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-93",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55958601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapa'a, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.