Individual provider Active NPI

Adriana Karina Botero, PSYD

  • Psychologist
  • Aiea, HI
National Provider Identifier
1679440671
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-2284 Issued in HI
Practice address
98-211 Pali Momi St Ste 600
Aiea, HI 96701-4337
Phone
(808) 850-3868
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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-2284 HI Primary

Addresses

Primary practice location

98-211 Pali Momi St Ste 600
Aiea, HI 96701-4337

Mailing address

2855 E Manoa Rd Ste 105-154
Honolulu, HI 96822-1823

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
I20260401001144 HI Practitioner - Clinical Psychologist 4284119884 Practice locations: Aiea, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2855 E Manoa Rd
Suite 105 154
Honolulu, HI 96822-1823

98 -211 Pali Momi St
Suite 600
Aiea, HI 96701-4337
Phone (808) 850-3868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-2284HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuna Psychology LLC Psychologist CurrentSince Nov 7, 2025 Accepting new patients

Locations

98-211 Pali Momi St
Ste 600
Aiea, HI 96701
Phone (808) 201-9059

2855 East Manoa Rd
Ste 105154
Honolulu, HI 96822

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1679440671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 E MANOA RD STE 105-154",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 600",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014337",
            "telephone_number": "808-850-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTERO",
        "first_name": "ADRIANA",
        "middle_name": "KARINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-2284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.