Healthcare Provider Details

I. General information

NPI: 1235018490
Provider Name (Legal Business Name): CAROLINE RITSON, MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 ULUNIU ST STE 404A
KAILUA HI
96734-2533
US

IV. Provider business mailing address

354 ULUNIU ST STE 404A
KAILUA HI
96734-2533
US

V. Phone/Fax

Practice location:
  • Phone: 802-432-8863
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE RITSON
Title or Position: OWNER
Credential: MD
Phone: 802-432-8863