Active NPI
Positive Support Services, LLC
- Community/Behavioral Health Agency
- Kilauea, HI
National Provider Identifier
1417112491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 16
- Legal business name
- POSITIVE SUPPORT SERVICES, LLC
- Practice address
- 1611 Huli Rd
Kilauea, HI 96754-5565 - Phone
- (808) 292-7968
- NPI assigned
- Jul 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Catherine H Wilson, M.ED,BCBA,LMHC
- Title
- Behavior Analyst
- Phone
- (808) 292-7968
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 16 | HI | Primary |
Addresses
Primary practice location
1611 Huli Rd
Kilauea, HI 96754-5565
Mailing address
1611 Huli Rd
Kilauea, HI 96754-5565
Phone (808) 292-7968
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1033912837
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- Behavior Technician
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- Behavior Technician
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- Behavior Technician
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-
- Behavior Technician
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- NPI 1407622061
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- Behavior Technician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216339200000",
"number": "1417112491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 HULI RD",
"city": "KILAUEA",
"state": "HI",
"postal_code": "967545565",
"telephone_number": "808-292-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 HULI RD",
"city": "KILAUEA",
"state": "HI",
"postal_code": "967545565",
"telephone_number": "808-292-7968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE SUPPORT SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-18",
"last_updated": "2008-07-18",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "BEHAVIOR ANALYST",
"authorized_official_telephone_number": "808-292-7968",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.ED,BCBA,LMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "HI",
"license": "16",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kilauea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.