Andrea Hermosura, PHD

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

PSY1581 Issued in HI

Practice address

677 Ala Moana Blvd
Ste 1016
Honolulu, HI 96813-5419

Phone

(808) 469-4383

NPI assigned

Jun 2, 2014

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

Other names 1

• Andrea Nacapoy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1750793246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD STE 1001",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135408",
            "telephone_number": "808-692-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD",
            "address_2": "STE 1016",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135419",
            "telephone_number": "808-469-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMOSURA",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "HI",
            "license": "PSY1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "NACAPOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory John Herbich, M.D.
• Amy Elisabeth Herchig, B.A., LMT., NCTMB
• Heritage Health Services of Hawaii LLC
• Cynthia Marie Herman
• Lyle Herman
• Stefanianne A Hernandez-Landry, LMHC, CSAC
• Anthony Cadiente Hernandez, M.D.
• Antonette Veronica Baxa Hernandez, MD
• Audrey Hernandez
• Carlos Ivan Hernandez

• Health Service Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Health Service Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.