Individual provider Active NPI

Tina Lorraine McLaughlin, PSY.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1992927628
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
HI PSY 455 Issued in HI
Practice address
606 Coral St
Honolulu, HI 96813-5135
Phone
(808) 371-7259
Fax
(808) 791-6198
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 HI PSY 455 HI Primary

Addresses

Primary practice location

606 Coral St
Honolulu, HI 96813-5135

Mailing address

606 Coral St
Honolulu, HI 96813-5135
Phone (808) 371-7259

Other identifiers 1

IdentifierTypeStateIssuer
07118001MedicaidHI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
HI PSY 455HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Hawaii, Inc. Past Accepting new patients
Care Hawaii, Inc. PastSince Jan 14, 1999 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992927628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 CORAL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135135",
            "telephone_number": "808-371-7259",
            "fax_number": "808-791-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 CORAL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135135",
            "telephone_number": "808-371-7259",
            "fax_number": "808-791-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "TINA",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "HI PSY 455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07118001",
            "state": "HI"
        }
    ],
    "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 Jul 9, 2007; 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.