Provider Demographics
NPI:1336894278
Name:POSITIVE PERSPECTIVE LLC (D/B/A)
Entity Type:Organization
Organization Name:POSITIVE PERSPECTIVE LLC (D/B/A)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:808-491-5533
Mailing Address - Street 1:91-1023 KAIHOHONU ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6203
Mailing Address - Country:US
Mailing Address - Phone:808-491-5533
Mailing Address - Fax:888-391-1445
Practice Address - Street 1:91-1023 KAIHOHONU ST
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-6203
Practice Address - Country:US
Practice Address - Phone:808-491-5533
Practice Address - Fax:888-391-1445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00C351241OtherHMSA PROVIDER ID
HIH11009Medicaid