Organization Active NPI

Transformational Living Centers

  • Community/Behavioral Health Agency
  • Honolulu, HI
National Provider Identifier
1922201565
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY-375 Issued in HI
Legal business name
TRANSFORMATIONAL LIVING CENTERS
Practice address
2851 E Manoa Rd
Suite 1-203
Honolulu, HI 96822-1858
Phone
(808) 988-6168
Fax
(808) 955-8155
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Authorized official

Name
Dr. Laura Marie Sturgis, PH.D.NPI 1093839649
Title
Owner
Phone
(808) 988-6168

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 PSY-375 HI Primary

Addresses

Primary practice location

2851 E Manoa Rd
Suite 1-203
Honolulu, HI 96822-1858

Mailing address

2851 E Manoa Rd
Suite 1-203
Honolulu, HI 96822-1858
Phone (808) 988-6168

Other identifiers 3

IdentifierTypeStateIssuer
00A0032233OtherHIHMSA
25083201MedicaidHI
0000032235OtherHIHMSA

Other names 1

  • Transformational Living Centers Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130826000070 HI Part B Supplier - Clinic/Group Practice 9436392347 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

2851 East Manoa Rd
Ste 1-203
Honolulu, HI 96822
Phone (808) 988-6167

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1922201565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 E MANOA RD",
            "address_2": "SUITE 1-203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221858",
            "telephone_number": "808-988-6168",
            "fax_number": "808-955-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 E MANOA RD",
            "address_2": "SUITE 1-203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221858",
            "telephone_number": "808-988-6168",
            "fax_number": "808-955-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONAL LIVING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "STURGIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-988-6168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "PSY-375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0032233",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25083201",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000032235",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformational Living Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 26, 2013; 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.