Individual provider Active NPI

Mya Moe Hla, MD

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1417167438
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 14966 Issued in HI
Practice address
2239 N School St
Honolulu, HI 96819-2539
Phone
(808) 791-9400
Fax
(808) 791-9456
NPI assigned
May 22, 2007
Last updated
Feb 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD 14966 HI Primary

Addresses

Primary practice location

2239 N School St
Honolulu, HI 96819-2539

Mailing address

625 Auwina St
Kailua, HI 96734-3428
Phone (808) 263-0180

Other names 1

  • Hla Mya Moe Former 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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000300 HI Practitioner - Psychiatry 6406970003 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 14966HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Jul 1, 2010 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Jul 1, 2010 Accepting new patients

Locations

2239 N School St
Honolulu, HI 96819
Phone (808) 791-9400

Organizations & group practices 3

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1417167438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 AUWINA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343428",
            "telephone_number": "808-263-0180",
            "fax_number": "808-843-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 N SCHOOL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192539",
            "telephone_number": "808-791-9400",
            "fax_number": "808-791-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLA",
        "first_name": "MYA",
        "middle_name": "MOE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD 14966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HLA",
            "last_name": "MOE",
            "middle_name": "MYA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.