Individual provider Active NPI

Robert Allen Horne, PH.D.

  • Psychologist
  • Lihue, HI
National Provider Identifier
1518994292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-443 Issued in HI
Practice address
3501 Rice St
Suite 214
Lihue, HI 96766-1765
Phone
(808) 245-6116
Fax
(808) 245-6116
NPI assigned
Jun 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY-443 HI Primary

Addresses

Primary practice location

3501 Rice St
Suite 214
Lihue, HI 96766-1765

Mailing address

5733 Koali St
Unit a
Kapaa, HI 96746-9622
Phone (808) 823-0343

Other identifiers 2

IdentifierTypeStateIssuer
07268701MedicaidHI
4066OtherHIALOHA CARE PROVIDER ID #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000568 HI Practitioner - Clinical Psychologist 0840213617 Practice locations: Kapaa, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5733 Koali St
Apt a
Kapaa, HI 96746-8102
Phone (808) 651-6257

5733 Koali St a
Kapaa, HI 96746-8102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY-443HIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518994292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5733 KOALI ST",
            "address_2": "UNIT A",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967469622",
            "telephone_number": "808-823-0343",
            "fax_number": "808-245-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 RICE ST",
            "address_2": "SUITE 214",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661765",
            "telephone_number": "808-245-6116",
            "fax_number": "808-245-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07268701",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE PROVIDER ID #",
            "identifier": "4066",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.