Angelina T.M Horner, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1927 Issued in HI

Practice address

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

Phone

(808) 930-6001

NPI assigned

Sep 24, 2021

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kau HospitalGroup PAC ID 7416945548, 138 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: apowelshorner@hhsc.org

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.

• Kau Hospital

  • Rural Health Clinic/Center
  • Pahala, HI
  • NPI 1144304338

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Kau Hospital

  dba East Hawaii Health Clinic at Puna Kai

  • Rural Health Clinic/Center
  • Pahoa, HI
  • NPI 1285450163
  NPD

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

{
    "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": []
}

• 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

• Clinical Psychologist in Pahoa, HI
• Providers in Pahoa, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.