Individual provider Active NPI

Amelia Kotte, PH.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1811129810
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1561 Issued in HI
Practice address
2530 Dole St
Psychology Department, Sakamaki D-410
Honolulu, HI 96822-2309
Phone
(619) 723-6915
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1561 HI Primary

Addresses

Primary practice location

2530 Dole St
Psychology Department, Sakamaki D-410
Honolulu, HI 96822-2309

Mailing address

2530 Dole St
Psychology Department, Sakamaki D-410
Honolulu, HI 96822-2309
Phone (619) 723-6915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1561HIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1811129810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 DOLE ST",
            "address_2": "PSYCHOLOGY DEPARTMENT, SAKAMAKI D-410",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222309",
            "telephone_number": "619-723-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 DOLE ST",
            "address_2": "PSYCHOLOGY DEPARTMENT, SAKAMAKI D-410",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222309",
            "telephone_number": "619-723-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTE",
        "first_name": "AMELIA",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.