NPIMap

Organization Active NPI

Sirius Research Group Inc

  • Clinical Social Worker
  • Pahoa, HI
National Provider Identifier
1851608673
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3331 Issued in HI
Legal business name
SIRIUS RESEARCH GROUP INC
Practice address
14-803A Seaview Road
Nanawale Estates
Pahoa, HI 96778-1341
Phone
(808) 965-5349
Fax
(808) 965-5036
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Mr. Frank Capatch, LCSWNPI 1285765420
Title
Director
Phone
(808) 965-5349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 3265 HI
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 3331 HI Primary

Addresses

Primary practice location

14-803A Seaview Road
Nanawale Estates
Pahoa, HI 96778-1341

Mailing address

PO Box 1341
Pahoa, HI 96778-1341
Phone (808) 965-5349

Other identifiers 1

IdentifierTypeStateIssuer
00A0223790OtherHIHMSABLUE CROSS BLUE SHIELD OF HAWAII

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130826000615 HI Part B Supplier - Clinic/Group Practice 5890938740 Receives reassigned benefits from 2 practitioners
Practice locations: Pahoa, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1851608673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1341",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967781341",
            "telephone_number": "808-965-5349",
            "fax_number": "808-965-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-803A SEAVIEW ROAD",
            "address_2": "NANAWALE ESTATES",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967781341",
            "telephone_number": "808-965-5349",
            "fax_number": "808-965-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRIUS RESEARCH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "CAPATCH",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-965-5349",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3265",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSABLUE CROSS BLUE SHIELD OF HAWAII",
            "identifier": "00A0223790",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahoa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.