Residential Youth Services & Empowerment

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RESIDENTIAL YOUTH SERVICES & EMPOWERMENT

Practice address

42-470 Kalanianaole Hwy
Kailua, HI 96734-4373

Phone

(808) 498-5180

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Derek Dickard

Title

Director

Phone

(808) 260-0348

Specialties & licenses 1

Addresses

Other names 1

• RYSE Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1821628280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-470 KALANIANAOLE HWY",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344373",
            "telephone_number": "808-498-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42-470 KALANIANAOLE HWY",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344373",
            "telephone_number": "808-498-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL YOUTH SERVICES & EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "DICKARD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-260-0348"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dickarda@ah.org",
            "affiliation": "N",
            "address_1": "42-470 Kalanianaole Hwy",
            "city": "Kailua",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967344373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "RYSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Kailua, HI
• Providers in Kailua, 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 23, 2020; 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.