Organization Active NPI

Rebekah Reid Clinic

  • Community/Behavioral Health Agency
  • Kapaa, HI
National Provider Identifier
1871861518
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHC212 Issued in HI
Legal business name
REBEKAH REID CLINIC
Practice address
4-1038 Kuhio Hwy
Kapaa, HI 96746-1625
Phone
(808) 823-7007
Fax
(808) 823-7008
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Ms. Rebekah Amelia Reid, MA, LMHC, CSACNPI 1679703300
Title
Clinical Director
Phone
(808) 823-7007

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHC212 HI Primary

Addresses

Primary practice location

4-1038 Kuhio Hwy
Kapaa, HI 96746-1625

Mailing address

PO Box 555
Kapaa, HI 96746-0555
Phone (808) 823-7007

National Provider Directory

National Provider Directory

Locations

4-1038 Kuhio Hwy
Kapaa, HI 96746
Phone (808) 823-7007

Practitioners & affiliated clinicians

Practitioners 1

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1871861518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967460555",
            "telephone_number": "808-823-7007",
            "fax_number": "808-823-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-1038 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461625",
            "telephone_number": "808-823-7007",
            "fax_number": "808-823-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEKAH REID CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "AMELIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "808-823-7007",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMHC, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "MHC212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.