Healthcare Provider Details

I. General information

NPI: 1720125032
Provider Name (Legal Business Name): ALAKA'I NA KEIKI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 ALAKEA ST UNIT 9
HONOLULU HI
96813-2833
US

IV. Provider business mailing address

1100 ALAKEA ST UNIT 9
HONOLULU HI
96813-2833
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-7771
  • Fax: 808-523-1997
Mailing address:
  • Phone: 808-523-7771
  • Fax: 808-523-1997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY368
License Number StateHI

VIII. Authorized Official

Name: DR. RICHARD J. KRAVETZ
Title or Position: PRESIDENT
Credential: PH.D
Phone: 808-523-7771