Individual provider Active NPI

Laila Spina, PSY.D.

  • Clinical Neuropsychologist
  • Honolulu, HI
National Provider Identifier
1033298203
Registry record updated Apr 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY 1157 Issued in HI
Practice address
438 Hobron LN Ste 409
Honolulu, HI 96815-1229
Phone
(808) 599-7676
Fax
(808) 599-7900
NPI assigned
Nov 6, 2006
Last updated
Apr 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY 1157 HI Primary
Clinical Psychologist 103TC0700X PSY 1157 HI

Addresses

Primary practice location

438 Hobron LN Ste 409
Honolulu, HI 96815-1229

Mailing address

PO Box 3805
Honolulu, HI 96812-3805
Phone (808) 599-7676

Other identifiers 1

IdentifierTypeStateIssuer
PSY-1157OtherHIPSYCHOLOGY LICENSE

Other names 1

  • Dr. Laila Spina Valenta Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000599 HI Practitioner - Clinical Psychologist 7113076555 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Honolulu, HI 96815
Phone (808) 599-7676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 1157HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gayle Hostetter PH.D., LLC Clinical Neuropsychologist PastSince Sep 3, 2011 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396656000000",
    "number": "1033298203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968123805",
            "telephone_number": "808-599-7676",
            "fax_number": "808-599-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN STE 409",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151229",
            "telephone_number": "808-599-7676",
            "fax_number": "808-599-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINA",
        "first_name": "LAILA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "HI",
            "license": "PSY 1157",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 1157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY-1157",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAILA",
            "last_name": "VALENTA",
            "middle_name": "SPINA",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.