• Psychotherapy and Counseling
  • Assessment and Testing
  • Forensic Examinations and Reports
  • Couples Counseling
  • Collaborative Divorce Coaching
  • Home-based Telehealth

HMSA, UHA, and cash payments accepted.  Superbill offered for most insurance reimbursement

Health Insurance

New Patients

We offer a free telephone consultation to insure that our therapists are the best match for your needs.

Please contact Dr. Spira for appointments at James.Spira@PacificBehavioralHealth.Org

or call 808-225-2193


Please contact Dr. Mirin for appointments at Azita.Mirin@PacificBehavioralHealth.Org

or call 808-351-2341

Appointment Request

Pacific Behavioral Health

Office Locations:  VideoConferencing Appointments Only

Correspondance:  P.O. Box 247; Kailua, Hawaii 96734

                                 Questions@PacificBehavioralHealth.Org


Licensed in Hawaii and California

Office Hours


Monday - Friday:   8:00am - 6:00pm


(some early morning appointments are also possible)



Call Us: 808-225-2193 

Our Approach

Pacific Behavioral Health 

Contact Us


Pacific Behavioral Health conducts psychological assessment and psychotherapy counseling for a wide range of psychological and medical conditions (see Services tab).  


Our psychotherapists are experts at child, adolescent, and family therapy, couples counseling, and the entire range of adult issues.  


Counseling helps you to better understand your issues, learn skills to gain better control over problems, and help improve your overall quality of life.    


We assist you in making changes that work for you in the context of your life.