Ilea Bain, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2763 Issued in OR

Practice address

53-3925 Akoni Pule Highway
Kapaau, HI 96755

Phone

(808) 889-6236

Fax

(808) 889-0107

NPI assigned

Sep 26, 2013

Last updated

Aug 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamakua Health Center, Inc.Group PAC ID 8325940885, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Hamakua Health Center, Inc.

  dba Hamakua Kohala Health

  • Federally Qualified Health Center (FQHC)
  • Honokaa, HI
  • NPI 1013993146
  Medicare reassignment Care Compare group NPD
• Hamakua Health Center, Inc.

  dba Hamakua-Kohala Health

  • Federally Qualified Health Center (FQHC)
  • Kamuela, HI
  • NPI 1164001954
  NPD

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1588091219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-549 PLUMERIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276902",
            "telephone_number": "808-775-7204",
            "fax_number": "808-775-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53-3925 AKONI PULE HIGHWAY",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "96755",
            "telephone_number": "808-889-6236",
            "fax_number": "808-889-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "ILEA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark G. Ansel, PH.D., LCSW
• Lauren Canton, LMHC
• Jocelyn U Chang, DO
• Charlotte Charfen, MD
• Erin Marie Cronin, MED, BCBA, LBA
• James Farthing Efstation, PH.D.

• Clinical Psychologist in Kapa'au, HI
• Providers in Kapa'au, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.