NPIMap

Organization Active NPI

Sandal Gap Comprehensive Services

  • Behavior Analyst
  • Kailua, HI
National Provider Identifier
1356066344
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
SANDAL GAP COMPREHENSIVE SERVICES
Practice address
126 Aikahi Loop
Kailua, HI 96734-1642
Phone
(808) 425-0195
NPI assigned
Oct 11, 2022
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Nicole JohnsonNPI 1134623663
Title
Ceo
Phone
(808) 425-0195

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X
Behavior Analyst 103K00000X Primary
Community/Behavioral Health Agency 251S00000X
Psychoanalyst 102L00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

126 Aikahi Loop
Kailua, HI 96734-1642

Mailing address

126 Aikahi Loop
Kailua, HI 96734-1642
Phone (808) 425-0195

Other names 1

  • Sandal Gap Comprehensive Services Other name

National Provider Directory

National Provider Directory

Locations

200 N Vineyard Blvd
Ste A330
Honolulu, HI 96817
Phone (808) 490-1668

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1356066344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 AIKAHI LOOP",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341642",
            "telephone_number": "808-425-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AIKAHI LOOP",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341642",
            "telephone_number": "808-425-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDAL GAP COMPREHENSIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-425-0195"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandal Gap Comprehensive Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sandal Gap Comprehensive Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.