Southern Cross Wellness Maui LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SOUTHERN CROSS WELLNESS MAUI LLC

Practice address

120 Baldwin Ave Unit 790824
Paia, HI 96779-3033

Phone

(808) 561-5171

NPI assigned

Sep 4, 2024

Last updated

Nov 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yolanda Rael, MOTR/L, CHT, CLT,NPI 1447537204

Title

Owner

Phone

(808) 561-5171

Specialties & licenses 1

Addresses

Other names 1

• Yolanda Rael Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yolanda Rael

  • Hand Occupational Therapist
  • Paia, HI
  • NPI 1447537204
  Authorized official Same address or phone

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1922833433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790824",
            "city": "PAIA",
            "state": "HI",
            "postal_code": "967790824",
            "telephone_number": "808-561-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BALDWIN AVE UNIT 790824",
            "city": "PAIA",
            "state": "HI",
            "postal_code": "967793033",
            "telephone_number": "808-561-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CROSS WELLNESS MAUI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "RAEL",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-561-5171",
        "authorized_official_credential": "MOTR/L, CHT, CLT,"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yolanda Rael",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yolanda Rael",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Konstantina Rose, APRN
• Jessica Anne Ross
• Astrid Senturia, LAC
• Margaret Catherine Shepherd, LCSW
• Josephine Simpson
• Kathleen Soye-Supplee, RDH
• Kristina Lee Statler, C.D.
• Johanna Taylor
• The Mama Coach - Emily Gilbert, LLC
• Katie Traverso-Paradiso

• Occupational Therapist in Paia, HI
• Providers in Paia, HI by specialty
• Occupational Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.