ANGELINA T.M HORNER (PHD) – Clinical Psychologist, NPI 1295406643
Clinical Psychologist
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
306 CLINICAL PSYCHOLOGIST in HI
Provider Addresses for ANGELINA T.M HORNER (PHD)
16-2085 PEARL DR
PAHOA, HI 967787611
Phone: (858) 442-8241
Type: Mailing
15-2660 PAHOA VILLAGE RD
PAHOA, HI 967786720
Phone: (808) 930-6001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211011001473 | I | Clinical Psychologist | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96778)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | HI | |
| Diagnostic Radiology, Interventional Radiology | DE | |
| Family Practice | HI | |
| - | CA | |
| Cardiovascular Disease (Cardiology) | NV | |
| - | HI | |
| Family Practice | NY | |
| Cardiovascular Disease (Cardiology) | VA | |
| Interventional Cardiology, Internal Medicine | OR | |
| Diagnostic Radiology | NY |
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