Provider Demographics
NPI:1528505013
Name:PACIFIC BEHAVIORAL HEALTH LTD
Entity type:Organization
Organization Name:PACIFIC BEHAVIORAL HEALTH LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LIONEL
Authorized Official - Last Name:SPIRA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MPH, ABPP
Authorized Official - Phone:808-225-2193
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-0247
Mailing Address - Country:US
Mailing Address - Phone:808-225-2193
Mailing Address - Fax:888-604-2131
Practice Address - Street 1:970 N KALAHEO AVE STE A314
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1870
Practice Address - Country:US
Practice Address - Phone:808-225-2193
Practice Address - Fax:888-604-2131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY1332103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty