Healthcare Provider Details

I. General information

NPI: 1932851045
Provider Name (Legal Business Name): RICHARD I RIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 02/18/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 BISHOP ST STE 3110
HONOLULU HI
96813-3313
US

IV. Provider business mailing address

1212 NUUANU AVE APT 1807
HONOLULU HI
96817-4027
US

V. Phone/Fax

Practice location:
  • Phone: 808-295-3999
  • Fax: 808-521-4466
Mailing address:
  • Phone: 808-295-3999
  • Fax: 808-521-4466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD RIES
Title or Position: PRESIDENT
Credential: PSYD
Phone: 808-295-3999