NPIMap

Organization Active NPI

Pakolea Support Services

  • Behavior Analyst
  • Lihue, HI
National Provider Identifier
1770183980
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PAKOLEA SUPPORT SERVICES
Practice address
1895 Haleukana St
Lihue, HI 96766-9072
Phone
(808) 346-6690
Fax
(888) 841-0904
NPI assigned
Oct 27, 2020
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Ms. La Reina M Kamalani
Title
Admin of Clinical Op/Co Founder
Phone
(808) 346-6690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1895 Haleukana St
Lihue, HI 96766-9072

Mailing address

4151 Momi St
Kilauea, HI 96754-5312
Phone (808) 639-5896

National Provider Directory

National Provider Directory
Tax ID family
Pakolea Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1895 Haleukana St
Lihue, HI 96766
Phone (808) 346-6690

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1770183980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 MOMI ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545312",
            "telephone_number": "808-639-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 HALEUKANA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967669072",
            "telephone_number": "808-346-6690",
            "fax_number": "888-841-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAKOLEA SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "KAMALANI",
        "authorized_official_first_name": "LA REINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMIN OF CLINICAL OP/CO FOUNDER",
        "authorized_official_telephone_number": "808-346-6690",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.