Bobby Benson Center

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

320800000X Issued in HI

Legal business name

BOBBY BENSON CENTER

Practice address

56-660 Kamehameha Hwy
Kahuku, HI 96731-2210

Phone

(808) 293-7555

Fax

(808) 293-7196

NPI assigned

Aug 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Wagner, MFT

Title

Director

Phone

(808) 293-7555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1962659540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56-660 KAMEHAMEHA HIGHWAY",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "96731",
            "telephone_number": "808-293-7555",
            "fax_number": "808-293-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-660 KAMEHAMEHA HWY",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312210",
            "telephone_number": "808-293-7555",
            "fax_number": "808-293-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY BENSON CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-293-7555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "HI",
            "license": "320800000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lawrence Askew, CPNP
• Naitia Auelua, CLINICAL SOCIAL WORK
• Claudia Balli
• Jeffrey James Baumann, MA
• Bobby Benson Center
• Constance Bridgman, NP-C
• Caitlin Bruce, FNP-BC
• Nakita Kyong Brusnighan, DDS
• Lawrence Woodson Buchner, PHARM.D.
• Teniiti Taie Burennatu

• All providers in Kahuku, HI
• Mental Illness Community Based Residential Treatment Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.