NPIMap

Organization Active NPI

State of Hawaii, Department of Health, Early Intervention Section

  • Early Intervention Provider Agency
  • Honolulu, HI
National Provider Identifier
1821367137
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
STATE OF HAWAII, DEPARTMENT OF HEALTH, EARLY INTERVENTION SECTION
Practice address
1010 Richards Street Suite 811
Honolulu, HI 96813
Phone
(808) 594-0000
Fax
(808) 586-0015
NPI assigned
Dec 16, 2011
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF HAWAII DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Stacy Kong
Title
Eis Supervisor
Phone
(808) 594-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

1010 Richards Street Suite 811
Honolulu, HI 96813

Mailing address

1010 Richards Street Suite 811
Honolulu, HI 96813
Phone (808) 594-0000

Other identifiers 1

IdentifierTypeStateIssuer
648660MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Central Oahu Comm Menta103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1010 Richards St
Ste 811
Honolulu, HI 96813

1350 S King St
Honolulu, HI 96814
Phone (808) 521-2433

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1821367137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 RICHARDS STREET SUITE 811",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-594-0000",
            "fax_number": "808-586-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 RICHARDS STREET SUITE 811",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-594-0000",
            "fax_number": "808-586-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF HAWAII, DEPARTMENT OF HEALTH, EARLY INTERVENTION SECTION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF HAWAII DEPARTMENT OF HEALTH",
        "enumeration_date": "2011-12-16",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "EIS SUPERVISOR",
        "authorized_official_telephone_number": "808-594-0007"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648660",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.