Angela Renee Gough, D.O.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

DOS-1674 Issued in HI

Practice address

677 Ala Moana Blvd Ste 226
Honolulu, HI 96813-5416

Phone

(808) 521-2437

NPI assigned

May 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Addiction Medicine

Education

University of North Texas HSC, College of Osteopathic Med, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hawaii Health and Harm Reduction CenterGroup PAC ID 1951653641, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

• Direct secure messaging: angela.gough@200.emedpractice.direct-ci.com

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

• Hawaii Health & Harm Reduction Center

  • Adult Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1407321797
  Medicare reassignment Care Compare group NPD
• Advanced Psychiatric Therapeutics

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1285920595
  NPD (past)
• Life Foundation

  • Case Management Agency
  • Honolulu, HI
  • NPI 1457547739
  NPD (past)

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1215229646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD",
            "address_2": "STE 226",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135499",
            "telephone_number": "808-521-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD STE 226",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135416",
            "telephone_number": "808-521-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUGH",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "HI",
            "license": "DOS-1674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radford Yutaka Goto, D.M.D.
• Rylie Lei Aiko Goto
• Sage Takashi Goto, L.P.C
• Wayne Kay Goto, M.D.
• Michael John Gottner, MD
• Emily J Goulet, MD
• Seth Goulet
• Vasiliki Goumenos, OTR/L
• Kylie Gouveia-Lee
• Cassie Kehaulani Gouveia

• Addiction Psychiatry Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Addiction Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.