Healthcare Provider Details
I. General information
NPI: 1477145233
Provider Name (Legal Business Name): RAUSER CONSULTING SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2021
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1325 S KIHEI RD STE 218
KIHEI HI
96753-8145
US
IV. Provider business mailing address
65 WAIAPO ST
KIHEI HI
96753-7356
US
V. Phone/Fax
- Phone: 808-818-3588
- Fax:
- Phone: 773-301-6144
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARK
RAUSER
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 808-818-3588