Active NPI
Herbert Puali'Ialoha Ishibashi, J.D.
- Clinical Social Worker
- Hilo, HI
National Provider Identifier
1568615946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 440 Kapiolani St
Hilo, HI 96720-3937 - Phone
- (808) 961-6635
- Fax
- (808) 961-6925
- NPI assigned
- Oct 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
440 Kapiolani St
Hilo, HI 96720-3937
Mailing address
440 Kapiolani St
Hilo, HI 96720-3937
Phone (808) 961-6635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Juris Doctor
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Behavioral Health of Hawaii, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Hilo, HI
- NPI 1124145149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1568615946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 KAPIOLANI ST",
"city": "HILO",
"state": "HI",
"postal_code": "967203937",
"telephone_number": "808-961-6635",
"fax_number": "808-961-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 KAPIOLANI ST",
"city": "HILO",
"state": "HI",
"postal_code": "967203937",
"telephone_number": "808-961-6635",
"fax_number": "808-961-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHIBASHI",
"first_name": "HERBERT",
"middle_name": "PUALI'IALOHA",
"credential": "J.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-29",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.