Carol S. Blum, PHD

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1486 Issued in HI

Legal business name

CAROL S. BLUM, PHD

Practice address

65-1206 Mamalahoa Hwy
Suite 2-205
Kamuela, HI 96743-7303

Phone

(808) 785-0715

NPI assigned

Oct 21, 2015

Last updated

Oct 21, 2015By 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

Carol S Blum, PHD

Title

Owner

Phone

(808) 785-0715

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1972975670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1206 MAMALAHOA HWY",
            "address_2": "SUITE 2-205",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437303",
            "telephone_number": "808-785-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1206 MAMALAHOA HWY",
            "address_2": "SUITE 2-205",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437303",
            "telephone_number": "808-785-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL S. BLUM, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-785-0715",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bush, APRN
• Gregory Paul Calkins, M.D.
• Janet Callaway
• Disa Gay B Camacaylan
• Alyce Camero, SLP
• Loren Case
• Kelen Rae Geller Casey, LMT
• Vikki Lynn Catellacci, MFT
• Lisa Margaret Caton, L.M.T
• Regina V Chaltry, L.M.T.

• Community/Behavioral Health Agency in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Community/Behavioral Health Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.