Organization Active NPI

Prima Behavioral Health LLC

  • Behavior Analyst
  • Kapolei, HI
National Provider Identifier
1669230116
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PRIMA BEHAVIORAL HEALTH LLC
Practice address
92-872 Panana St
Kapolei, HI 96707-1328
Phone
(808) 741-8230
NPI assigned
Mar 11, 2024
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Mr. Tami N Rickman, M.A., BCBA, LBANPI 1689285389
Title
Behavior Analyst
Phone
(808) 741-8230

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: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

92-872 Panana St
Kapolei, HI 96707-1328

Mailing address

92-872 Panana St
Kapolei, HI 96707-1328
Phone (808) 741-8230

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1669230116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-872 PANANA ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071328",
            "telephone_number": "808-741-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-872 PANANA ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071328",
            "telephone_number": "808-741-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "RICKMAN",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "808-741-8230",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "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 Mar 11, 2024; 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.