Active NPI
Kristin A Khoury, PSY.D.
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1134214554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 944
- Practice address
- 7192 Kalanianaole Highway
Ste 143a #259
Honolulu, HI 96825 - Phone
- (808) 384-4725
- Fax
- (808) 888-4227
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 944 | HI | Primary |
Addresses
Primary practice location
7192 Kalanianaole Highway
Ste 143a #259
Honolulu, HI 96825
Mailing address
7192 Kalanianaole Highway
Ste 143a #259
Honolulu, HI 96825
Phone (808) 384-4725
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00D0259939 | Other | HI | HMSA KANEOHE |
| 58543201 | Other | HI | ALOHACARE |
| 685023 | Other | HI | MILITARY ONE SOURCE |
| PSY944 | Other | HI | MDX |
| 00419117 | Other | HI | UNITED HEALTH ALLIANCE |
Other names 1
- Dr. Kristin A Christensen
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071211000279 | HI | Practitioner - Clinical Psychologist | 8729177969 | Practice locations: Honolulu, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 944 | HI | MD | Clinical Psychologist |
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1134214554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7192 KALANIANAOLE HIGHWAY",
"address_2": "STE 143A #259",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96825",
"telephone_number": "808-384-4725",
"fax_number": "808-888-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7192 KALANIANAOLE HIGHWAY",
"address_2": "STE 143A #259",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96825",
"telephone_number": "808-384-4725",
"fax_number": "808-888-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURY",
"first_name": "KRISTIN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY 944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA KANEOHE",
"identifier": "00D0259939",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHACARE",
"identifier": "58543201",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY ONE SOURCE",
"identifier": "685023",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX",
"identifier": "PSY944",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH ALLIANCE",
"identifier": "00419117",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "CHRISTENSEN",
"middle_name": "A",
"prefix": "DR.",
"credential": "PSYD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.