Organization Active NPI

Joanna Mullikin

  • Community/Behavioral Health Agency
  • Kahului, HI
National Provider Identifier
1407335649
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW-4140 Issued in HI
Legal business name
JOANNA MULLIKIN
Practice address
135 S Wakea Ave Ste 208
Kahului, HI 96732-1385
Phone
(773) 732-5798
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Joanna Mullikin, LCSW
Title
Licensed Clinical Social Worker
Phone
(773) 732-5798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW-4140 HI Primary

Addresses

Primary practice location

135 S Wakea Ave Ste 208
Kahului, HI 96732-1385

Mailing address

71 Kopi LN Apt 2-103
Wailuku, HI 96793-2050
Phone (773) 732-5798

National Provider Directory

National Provider Directory

Locations

135 S Wakea Ave
Ste 208
Kahului, HI 96732
Phone (808) 280-4402

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1407335649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 KOPI LN APT 2-103",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932050",
            "telephone_number": "773-732-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S WAKEA AVE STE 208",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321385",
            "telephone_number": "773-732-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA MULLIKIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "MULLIKIN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "773-732-5798",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "LCSW-4140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.