Kline-Welsh Behavioral Health Fondation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

OHCA #1-STF Issued in HI

Legal business name

KLINE-WELSH BEHAVIORAL HEALTH FONDATION

Doing business as

The Sand Island Treatment Center

Practice address

1240 Sand Island Pkwy
Honolulu, HI 96819-4315

Phone

(808) 841-3915

Fax

(808) 841-4278

NPI assigned

Mar 21, 2007

Last updated

Jan 15, 2009By 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

Mr. Mason Henderson, CSAPA

Title

Executive Director

Phone

(808) 842-7529

Specialties & licenses 1

Addresses

Other names 1

• The Sand Island Treatment Center Doing business as

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1578689816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3045",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968023045",
            "telephone_number": "808-841-3915",
            "fax_number": "808-841-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SAND ISLAND PKWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194315",
            "telephone_number": "808-841-3915",
            "fax_number": "808-841-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINE-WELSH BEHAVIORAL HEALTH FONDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-842-7529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSAPA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "HI",
            "license": "OHCA #1-STF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sand Island Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hans Willi Kleinert, LMT
• Christopher Klem, M.D.
• Elyse Marie Klemm, CCC-SLP
• Eric Howard Klemmer, M.D.
• Sarah Kletzli
• Emmanuel Ramirez Enriquez Kling, M.D.
• Lisa Kai Klosterman, D.D.S., M.S.
• Nicholas Adam Knabb
• Joshua Knapp, DO
• Nicole Knapp, PHD

• Substance Abuse Rehabilitation Facility in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Substance Abuse Rehabilitation Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.