The Green Room Therapy, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

THE GREEN ROOM THERAPY, LLC

Practice address

78-6831 Alii Drive
Space E234, Unit # 211
Kailua-Kona, HI 96740-9674

Phone

(808) 234-4435

NPI assigned

Jun 8, 2020

Last updated

Jun 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sangeetha Nair, LMFTNPI 1629690300

Title

Marriage and Family Therapist

Phone

(808) 234-4435

Specialties & licenses 1

Addresses

Electronic endpoints 2

Practitioners 1

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.

• Sangeetha Nair, LMFT

  • Marriage & Family Therapist
  • Kealakekua, HI
  • NPI 1629690300
  NPD Authorized official

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1437774221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967500863",
            "telephone_number": "808-234-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DRIVE",
            "address_2": "SPACE E234, UNIT # 211",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "967409674",
            "telephone_number": "808-234-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREEN ROOM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "SANGEETHA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "808-234-4435",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "McAfee.com",
            "affiliation": "N",
            "address_1": "78-6831 Alii Drive",
            "address_2": "Space E234, Unit # 211",
            "city": "Kailua-Kona",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967409674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "McAfee.com",
            "affiliation": "N",
            "address_1": "78-6831 Alii Drive",
            "address_2": "Space E234, Unit # 211",
            "city": "Kailua-Kona",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967409674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marriage & Family Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.