Active NPI
Cathryn Nova, PHD
- Clinical Psychologist
- Kailua Kona, HI
National Provider Identifier
1790877348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY555
- Practice address
- 75-240 Nani Kailua Dr
Suite 10
Kailua Kona, HI 96740-2074 - Phone
- (808) 329-2700
- Fax
- (808) 327-0343
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY555 | HI | Primary |
Addresses
Primary practice location
75-240 Nani Kailua Dr
Suite 10
Kailua Kona, HI 96740-2074
Mailing address
75-240 Nani Kailua Dr
Suite 10
Kailua Kona, HI 96740-2074
Phone (808) 329-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07511802 | Medicaid | HI |
Other names 1
- Dr. Katie Nova
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040227000512 | HI | Practitioner - Clinical Psychologist | 3779479415 | Practice locations: Kailua Kona, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
75 -127 Lunapule Rd
Suite 6
Kailua Kona, HI 96740-2119
Phone (808) 329-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205625600000",
"number": "1790877348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-240 NANI KAILUA DR",
"address_2": "SUITE 10",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402074",
"telephone_number": "808-329-2700",
"fax_number": "808-327-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-240 NANI KAILUA DR",
"address_2": "SUITE 10",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402074",
"telephone_number": "808-329-2700",
"fax_number": "808-327-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVA",
"first_name": "CATHRYN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2008-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07511802",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "NOVA",
"prefix": "DR.",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2008; 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.