Erica Halana Malie Black

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1100 Alakea St FL 9
Honolulu, HI 96813-2833

Phone

(808) 523-7771

NPI assigned

Feb 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alaka'I NA Keiki, Inc.

  • Cognitive & Behavioral Psychologist
  • Honolulu, HI
  • NPI 1720125032
  NPD (past)

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1558067397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1777 KUPELEKO PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063634",
            "telephone_number": "808-754-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALAKEA ST FL 9",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132833",
            "telephone_number": "808-523-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ERICA",
        "middle_name": "HALANA MALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Anthony Bissanti, P.T.
• Andrew David Bisset, M.D.
• Charlyn Marie Bitanga
• Xiumei CHI Bivens, LMT
• Lydia Hoopili Bjugstad
• Michael D. Black, M.D.
• Raymond Black III, MA, BS, LMHC, CSAC
• Ronald A Black, M.D.
• Nicole P Blackburn
• Patrice Nicole Blackmon

• All providers in Honolulu, HI
• Behavior Technician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.