Organization Active NPI

Positive Support Services, LLC

  • Community/Behavioral Health Agency
  • Kilauea, HI
National Provider Identifier
1417112491
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
16 Issued in HI
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

Updated by the provider on Jul 18, 2008

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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 30

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.

Verify at the official NPI Registry.