NPIMap

Organization Active NPI

Island Therapeutic Specialists LLC

  • Speech-Language Pathologist
  • Kealakekua, HI
National Provider Identifier
1407283732
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1055 Issued in HI
Legal business name
ISLAND THERAPEUTIC SPECIALISTS LLC
Practice address
81-6587 Mamalahoa Hwy
Suite C-203
Kealakekua, HI 96750
Phone
(808) 987-2451
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Teresa Cruzan, MS CCC-SLP
Title
Ceo/Director of Therapeutic Service
Phone
(808) 238-9565

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 1663-12 HI
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 1535-10 HI
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 3904 HI
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 1055 HI Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 1286 HI

Addresses

Primary practice location

81-6587 Mamalahoa Hwy
Suite C-203
Kealakekua, HI 96750

Mailing address

PO Box 928
Captain Cook, HI 96704-0928
Phone (808) 987-2451

National Provider Directory

National Provider Directory

Locations

73-5574 Maiau St
Ste 4
Kailua Kona, HI 96740
Phone (808) 987-2451

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": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1407283732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 928",
            "city": "CAPTAIN COOK",
            "state": "HI",
            "postal_code": "967040928",
            "telephone_number": "808-987-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-6587 MAMALAHOA HWY",
            "address_2": "SUITE C-203",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "96750",
            "telephone_number": "808-987-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND THERAPEUTIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "CRUZAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CEO/DIRECTOR OF THERAPEUTIC SERVICE",
        "authorized_official_telephone_number": "808-238-9565",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1663-12",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1535-10",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3904",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1055",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.