Provider Demographics
NPI:1497042162
Name:THE CATALYST GROUP, LLC
Entity Type:Organization
Organization Name:THE CATALYST GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-739-1992
Mailing Address - Street 1:3615 HARDING AVE
Mailing Address - Street 2:SUITE 509
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3735
Mailing Address - Country:US
Mailing Address - Phone:808-739-1992
Mailing Address - Fax:808-739-1995
Practice Address - Street 1:3615 HARDING AVE
Practice Address - Street 2:SUITE 509
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3735
Practice Address - Country:US
Practice Address - Phone:808-739-1992
Practice Address - Fax:808-739-1995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY 1056103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty