Active NPI
Robert Allen Horne, PH.D.
- Psychologist
- Lihue, HI
National Provider Identifier
1518994292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-443
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07268701 | Medicaid | HI | |
| 4066 | Other | HI | ALOHA 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-443 | HI | MD | Psychologist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.