Mary C. Horn, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY755 Issued in HI

Practice address

45-955 Kamehameha Hwy Ste 306
Kaneohe, HI 96744-3292

Phone

(808) 247-2961

Fax

(808) 247-2962

NPI assigned

Sep 20, 2006

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 identifiers 1

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Dr Mary C Horn LLC

  • Psychologist
  • Kaneohe, HI
  • NPI 1073606760
  Medicare reassignment NPD Authorized official
• Care Hawaii, Inc.

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1770603425
  Medicare reassignment

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770681850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-955 KAMEHAMEHA HWY STE 306",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443292",
            "telephone_number": "808-247-2961",
            "fax_number": "808-247-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-955 KAMEHAMEHA HWY STE 306",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443292",
            "telephone_number": "808-247-2961",
            "fax_number": "808-247-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "MARY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55569101",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jensine Therese Kala'Iokamanu Honda, RN
• Honolulu Vamc
• Hooilina Genomics Institute
• Hoola Malamalama
• Hoomaluhia Therapy Inc
• Hospital Beds Oahu LLC
• Alana Hu, PSY.D.
• Lianna Hunt, D.C.
• Olivia T Hunte, M.D.
• Bree Misako Ichimasa, D.C.

• Psychologist in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.