Individual provider Active NPI

Chassi Keakaokekai Silva-Santiago

  • Behavior Technician
  • Honolulu, HI
National Provider Identifier
1912553801
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-254411 Issued in HI
Practice address
1330 Ala Moana Blvd Ste 1
Honolulu, HI 96814-4262
Phone
(808) 585-1424
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-254411 HI Primary

Addresses

Primary practice location

1330 Ala Moana Blvd Ste 1
Honolulu, HI 96814-4262

Mailing address

1330 Ala Moana Blvd Ste 1
Honolulu, HI 96814-4262
Phone (808) 585-1424

Other practice location 1

41-611 Inoaole St
Waimanalo, HI 96795-1211
Phone (808) 892-4059

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

LicenseStateTypeSpecialty
RBT-23-254411HIMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Behavioral Health, LLC CurrentSince Aug 27, 2023 Accepting new patients
Hawaii Behavioral Health, LLC CurrentSince Aug 27, 2023 Accepting new patients
Mau Loa Learning Behavior Technician PastSince Aug 1, 2019 Accepting new patients

Locations

1330 Ala Moana Blvd
Ste 1
Honolulu, HI 96814
Phone (800) 585-0379

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1912553801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ALA MOANA BLVD STE 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144262",
            "telephone_number": "808-585-1424",
            "fax_number": "808-260-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ALA MOANA BLVD STE 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144262",
            "telephone_number": "808-585-1424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41-611 Inoaole St",
            "address_purpose": "LOCATION",
            "city": "Waimanalo",
            "state": "HI",
            "postal_code": "967951211",
            "country_code": "US",
            "telephone_number": "808-892-4059",
            "fax_number": "808-260-4391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA-SANTIAGO",
        "first_name": "CHASSI",
        "middle_name": "KEAKAOKEKAI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-23-254411",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 16, 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.

Verify at the official NPI Registry.