Active NPI
Philip Jorge Sims
- Behavior Technician
- Kapolei, HI
National Provider Identifier
1790280550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-52987
- Practice address
- 1001 Kamokila Blvd Ste 210
Kapolei, HI 96707-2096 - Phone
- (808) 591-6060
- NPI assigned
- Mar 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-52987 | HI | Primary |
Addresses
Primary practice location
1001 Kamokila Blvd Ste 210
Kapolei, HI 96707-2096
Mailing address
1101 Kukulu St Unit 71
Kapolei, HI 96707-4537
Phone (224) 627-2710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-52987 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1790280550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 KUKULU ST UNIT 71",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967074537",
"telephone_number": "224-627-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 KAMOKILA BLVD STE 210",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072096",
"telephone_number": "808-591-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "PHILIP",
"middle_name": "JORGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-18-52987",
"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 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.