KAHALA CLINIC LLC
NPI 1053666842
Psychiatry & Neurology - Child & Adolescent Psychiatry in Honolulu, HI
NPI Status: Active since July 17, 2012
Contact Information
4211 WAIALAE AVE
SUITE 207
HONOLULU, HI
ZIP 96816
Phone: (808) 542-7349
- Organization
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- CLIA Number: 12D2117301
- CLIA Cert. Type: Other - CLINIC
- CLIA Exp. Date: 08-11-2026
About KAHALA CLINIC LLC
This page provides the complete NPI Profile along with additional information for Kahala Clinic Llc, a provider established in Honolulu, Hawaii operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1053666842 assigned on July 2012. The practitioner's primary taxonomy code is 2084P0804X with license number MD12987 (HI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jason Richard Keifer M.d. (Owner)
- NPI
- 1053666842
- Provider Name
- KAHALA CLINIC LLC
- Entity Type
- Organization
- Location Address
- 4211 WAIALAE AVE SUITE 207 HONOLULU, HI 96816
- Location Phone
- (808) 542-7349
- Mailing Address
- 4211 WAIALAE AVE SUITE 207 HONOLULU, HI 96816
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2012
- Last Update Date
- 07-17-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD12987
- License State
- HI
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 12D2117301
- Facility Type
- Other - CLINIC
- Certificate Effective Date
- August 12, 2024
- Certificate Expiration Date
- August 11, 2026
- Laboratory Director
- DR. JASON R. KEIFER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kahala Clinic Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053666842, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HONOLULU, HI 96816
HONOLULU, HI 96816
HONOLULU, HI 96816
HONOLULU, HI 96816
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053666842, enumerated as an "organization" on July 17, 2012.
The provider is located at 4211 WAIALAE AVE SUITE 207 HONOLULU, HI 96816 and the phone number is (808) 542-7349.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
