NPIMap

Organization Active NPI

Island Behavioral Health LLC

  • Behavior Analyst
  • Kapolei, HI
National Provider Identifier
1609370196
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
211 Issued in HI
Legal business name
ISLAND BEHAVIORAL HEALTH LLC
Practice address
92-1224 Olani St Apt 3
Kapolei, HI 96707
Phone
(808) 628-0348
NPI assigned
Mar 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Shawna Ueyama, PAY.D. BCBA-DNPI 1134622574
Title
Executive Director
Phone
(808) 628-0348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 211 HI Primary

Addresses

Primary practice location

92-1224 Olani St Apt 3
Kapolei, HI 96707

Mailing address

590 Farrington Hwy Unit 524
Kapolei, HI 96707-2034
Phone (808) 800-1195

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1609370196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY UNIT 524",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072034",
            "telephone_number": "808-800-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-1224 OLANI ST APT 3",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "96707",
            "telephone_number": "808-628-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "UEYAMA",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-628-0348",
        "authorized_official_credential": "PAY.D. BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.