Provider Demographics
NPI:1851608673
Name:SIRIUS RESEARCH GROUP INC
Entity Type:Organization
Organization Name:SIRIUS RESEARCH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPATCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-965-5349
Mailing Address - Street 1:PO BOX 1341
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-1341
Mailing Address - Country:US
Mailing Address - Phone:808-965-5349
Mailing Address - Fax:808-965-5036
Practice Address - Street 1:14-803A SEAVIEW ROAD
Practice Address - Street 2:NANAWALE ESTATES
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:96778-1341
Practice Address - Country:US
Practice Address - Phone:808-965-5349
Practice Address - Fax:808-965-5036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI32651041C0700X
HI33311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00A0223790OtherHMSABLUE CROSS BLUE SHIELD OF HAWAII