Provider Demographics
NPI:1306151139
Name:ALETHEA, INC.
Entity type:Organization
Organization Name:ALETHEA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALETHEA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:808-259-7358
Mailing Address - Street 1:41-976 LAUMILO ST
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1661
Mailing Address - Country:US
Mailing Address - Phone:808-259-7358
Mailing Address - Fax:808-259-9169
Practice Address - Street 1:41-976 LAUMILO ST
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1661
Practice Address - Country:US
Practice Address - Phone:808-259-7358
Practice Address - Fax:808-259-9169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY554103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIS04975Medicare UPIN
HI0000TCBXWMedicare PIN