Angelina T.M Horner, PHD

Key facts

NPI

1295406643

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

1927 (HI)

Practice address

15-2660 Pahoa Village Rd
Pahoa, HI 96778-6720

Phone

(808) 930-6001

NPI assigned

Sep 24, 2021

Sex

Female

Sole proprietor

Yes

Organizations & group practices 9

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.

• Kau Hospital Rural Health Clinic/Center · Pahala, HI · NPI 1144304338
  Medicare reassignment Care Compare group NPD HI · SINGLE SPECIALTY
• Kau Hospital Rural Health Clinic/Center · Pahoa, HI · NPI 1285450163
  Care Compare group NPD
• Kau Hospital Rural Health Clinic/Center · Hilo, HI · NPI 1154111607
  Care Compare group
• Kau Hospital Rural Health Clinic/Center · Hilo, HI · NPI 1164083374
  Care Compare group
• Kau Hospital Rural Health Clinic/Center · Pahoa, HI · NPI 1174777916
  Care Compare group
• Kau Hospital Rural Health Clinic/Center · Hilo, HI · NPI 1336789874
  Care Compare group
• Kau Hospital Critical Access Hospital · Pahala, HI · NPI 1558441311
  Care Compare group
• Kau Hospital Rural Health Clinic/Center · Keaau, HI · NPI 1649876913
  Care Compare group
• Kau Hospital Medicare Defined Swing Bed Hospital Unit · Pahala, HI · NPI 1902977440
  Care Compare group

Medicare Care Compare profile

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kau Hospital (138 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: apowelshorner@hhsc.org

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 24, 2021.

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1295406643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-2085 PEARL DR",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967787611",
            "telephone_number": "858-442-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-2660 PAHOA VILLAGE RD",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967786720",
            "telephone_number": "808-930-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "ANGELINA",
        "middle_name": "T.M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Apowelshorner@hhsc.org",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email Address",
            "address_1": "15-2660 Pahoa Village Rd",
            "city": "Pahoa",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967786720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pahoa, HI

• Lauren Robin Herskowitz, LMT
• Lynda Anne Hirakami, FNP APRN-BC
• Moon Jean Ho, N.D.
• Shiala Holland
• Marianne Hooker, L.C.S.W.
• Bryan Houston, LCSW
• Kerry Hubbell, L.M.T.
• Carol Ann Iadeluca-Myrianthis, PT, PSYD
• Carrie Ip, MD
• Ivaz LLC

All providers in Pahoa, HI · Clinical Psychologist in Hawaii