Katlyn Hale, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-1594 Issued in HI

Practice address

79-938 W Honalo Rd
Kailua-Kona, HI 96740

Phone

(808) 430-0336

NPI assigned

Sep 26, 2011

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Imua Health Group, LLC

  • Psychologist
  • Aiea, HI
  • NPI 1023648995
  Medicare reassignment NPD
• Hale Psychology LLC

  • Adult Mental Health Clinic/Center
  • Kailua-Kona, HI
  • NPI 1629874631
  NPD Authorized official
• Imua Heart

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aiea, HI
  • NPI 1265119416
  NPD (past)

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1760765796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1061",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967501061",
            "telephone_number": "808-430-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-938 W HONALO RD",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-430-0336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81-1043 Konawaena School Rd",
            "address_purpose": "LOCATION",
            "city": "Kealakekua",
            "state": "HI",
            "postal_code": "967508121",
            "country_code": "US",
            "telephone_number": "808-987-7431",
            "fax_number": "808-323-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "KATLYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-1594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Gross, M.D.
• Jacqueline Beth Gupton, MASSAGE THERAPIST
• Chelsea Lenay Haaland, LCSW
• Timothy H. Hagino, MD
• Hale Psychology LLC
• Kristen A Hale, LCSW
• Grace Haley
• Dustan Hall
• Ellen E Halley, CRNA
• Nina Tatiana Hamid, DACM, L.AC, MAC.OM

• Psychologist in Kailua-Kona, HI
• Providers in Kailua-Kona, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.