The Wisdom Center for Autism

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

W22609182-01 Issued in HI

Legal business name

THE WISDOM CENTER FOR AUTISM

Practice address

810 Kokomo Rd
Suite 184
Haiku, HI 96708-5075

Phone

(808) 214-2326

NPI assigned

Jan 15, 2015

Organization subpart

No

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

Authorized official

Name

Joe Breman

Title

President

Phone

(808) 214-2326

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1679962526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 KOKOMO RD",
            "address_2": "SUITE 184",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967085075",
            "telephone_number": "808-214-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 KOKOMO RD",
            "address_2": "SUITE 184",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967085075",
            "telephone_number": "808-214-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WISDOM CENTER FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "BREMAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-214-2326"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "W22609182-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul David Solomon, LCSW
• Shelley St John
• Colleen L Stoker, LMT
• Barry Alan Sultanoff, M.D.
• Chrystal Summers
• Silvia Camille Thornton, L.AC.
• Three Treasures, Inc
• Transformational Counseling
• True Core Physical Therapy
• Jomarie L Tyrrell

• Community/Behavioral Health Agency in Haiku, HI
• Providers in Haiku, HI by specialty
• Community/Behavioral Health Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.