Organization Active NPI

Kia Clinical Services

  • Adolescent and Children Mental Health Clinic/Center
  • Honolulu, HI
National Provider Identifier
1992568133
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
KIA CLINICAL SERVICES
Practice address
2752 Woodlawn Dr Ste 5-212
Honolulu, HI 96822-1855
Phone
(808) 339-3046
Fax
(808) 339-3047
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Dr. Gerald Brouwers, PH.D.NPI 1972810893
Title
President
Phone
(808) 220-6689

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2752 Woodlawn Dr Ste 5-212
Honolulu, HI 96822-1855

Mailing address

PO Box 61127
Honolulu, HI 96839-1127
Phone (808) 220-6689

National Provider Directory

National Provider Directory

Locations

2752 Woodlawn Dr
Ste 5-212
Honolulu, HI 96822
Phone (808) 339-3046

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": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1992568133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61127",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968391127",
            "telephone_number": "808-220-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 WOODLAWN DR STE 5-212",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221855",
            "telephone_number": "808-339-3046",
            "fax_number": "808-339-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIA CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "BROUWERS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-220-6689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "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 Jan 31, 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.