NPIMap

Organization Active NPI

Kauai Community Mental Health Center

  • Community/Behavioral Health Agency
  • Lihue, HI
National Provider Identifier
1487879789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KAUAI COMMUNITY MENTAL HEALTH CENTER
Practice address
3-3212 Kuhio Hwy
Lihue, HI 96766-1142
Phone
(808) 274-3190
Fax
(808) 274-3194
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Detucci, LCSW
Title
Center Manager
Phone
(808) 274-3190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3-3212 Kuhio Hwy
Lihue, HI 96766-1142

Mailing address

3-3212 Kuhio Hwy
Lihue, HI 96766-1142
Phone (808) 274-3190

Other identifiers 1

IdentifierTypeStateIssuer
539372-01MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Dept of Health-Hawaii-Developmental Disabilities Division Cmuhawaii105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3-3212 Kuhio Hwy
Lihue, HI 96766
Phone (808) 274-3190

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487879789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-3212 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661142",
            "telephone_number": "808-274-3190",
            "fax_number": "808-274-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3212 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661142",
            "telephone_number": "808-274-3190",
            "fax_number": "808-274-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DETUCCI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CENTER MANAGER",
        "authorized_official_telephone_number": "808-274-3190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "539372-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.