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KAHALA CLINIC INTENSIVE TREATMENT PROGRAM
NPI 1306361241
Clinic/Center - Adolescent and Children Mental Health in Honolulu, HI

Active since August 12, 2017CLIA 12D2046002 · Waiver
4211 WAIALAE AVE STE 208, HONOLULU, HI 96816(808) 888-5228(808) 732-6433 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 12, 2017 (2 updates tracked since 2017).

About Kahala Clinic Intensive Treatment Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAHALA CLINIC INTENSIVE TREATMENT PROGRAM (NPI 1306361241) is a healthcare organization registered as an adolescent and children mental health in Honolulu, Hawaii and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 22, 2026 and lists Jason Richard Keifer, President, as its authorized official.

NPPES Registry Identity

NPI1306361241
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameKAHALA CLINIC INTENSIVE TREATMENT PROGRAM
Location Address4211 WAIALAE AVE STE 208Honolulu, HI 96816-5312
Mailing Address4211 Waialae Ave Ste 208Honolulu, HI 96816-5312 · (808) 888-5228 · Fax (808) 732-6433
Phone(808) 888-5228
Fax(808) 732-6433
Organization SubpartNo
Authorized OfficialJason Richard KeiferPresident · (808) 888-5228
Enumeration DateAugust 12, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1306361241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in HI · GE-090-260-8896-01
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
4211 WAIALAE AVE STE 208, Honolulu, HI 96816
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2046002

Kahala Clinic LLC · Honolulu, HI
Active · expires Aug 22, 2026
CLIA Number12D2046002
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorDr. Jason R. Keifer
Laboratory Phone(808) 888-5228
Laboratory LocationKahala Clinic LLC4211 Waialae Ave Ste 207, Honolulu, HI 96816
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBIN MARTIN D.O
Psychiatry & Neurology (Psychiatry)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Honolulu County (831) 331-7536
ALETA MONAKHOV DNP-PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Honolulu County (808) 213-7292
JOSEPHINE P. HORITA, D.O. LLC
Clinic/Center (Adolescent and Children Mental Health)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Honolulu County (808) 542-7349
KATIE ANN STEINHELFER PMHNP, PNP, FNP APRN
Nurse Practitioner (Psychiatric/Mental Health)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Honolulu County (808) 222-4314
JASON PATEL
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Honolulu County (808) 888-5228
DR. JEREMY S RICHARDS M.D.
Psychiatry & Neurology (Psychiatry)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Honolulu County (808) 888-5228
DR. ERIK MASAYUKI SHIPLEY MD
Psychiatry & Neurology (Psychiatry)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Honolulu County (808) 888-5228
JENNY MARIE PIVONKA
Nurse Practitioner (Psychiatric/Mental Health)
4211 WAIALAE AVE STE 208
HONOLULU, HI 96816
Honolulu County (808) 429-9795

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kahala Clinic Intensive Treatment Program's NPI number?

The NPI number for Kahala Clinic Intensive Treatment Program is 1306361241. It was assigned to this organization in the NPPES registry on August 12, 2017.

Where is Kahala Clinic Intensive Treatment Program located?

Kahala Clinic Intensive Treatment Program is located at 4211 Waialae Ave Ste 208, Honolulu, HI 96816. The listed phone number is (808) 888-5228.

What is Kahala Clinic Intensive Treatment Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Kahala Clinic Intensive Treatment Program hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2046002) is associated with this NPI, valid through August 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kahala Clinic Intensive Treatment Program was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.