ILEA BAIN (PSYD) – Clinical Psychologist, NPI 1588091219

ILEA BAIN (PSYD) is a healthcare provider. based in Kapaau, Hawaii. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 2763 (OR). The NPI Number for ILEA BAIN (PSYD) is 1588091219

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ILEA BAIN (PSYD)
NPI
1588091219
Phone
(808) 889-6236
Address
53-3925 AKONI PULE HIGHWAY
Enumeration Date
26 September 2013
Last Update Date
17 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8087757204
Graduation Year
2015 (11 years ago)
PAC ID
2264797190
Group Practice PAC ID
8325940885
Professional Enrollment ID
I20180524002115
Address ID
HI967276902HO45XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

306 CLINICAL PSYCHOLOGIST in HI

Provider Addresses for ILEA BAIN (PSYD)

  • 53-3925 AKONI PULE HIGHWAY

    KAPAAU, HI 96755

    Phone: (808) 889-6236

    Fax: (808) 889-0107

    Type: Location

  • 45-549 PLUMERIA ST

    HONOKAA, HI 967276902

    Phone: (808) 775-7204

    Fax: (808) 775-9404

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-05-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180524002115IClinical PsychologistHITBD

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.

Verify on CMS Revalidation Lookup Tool

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 96755)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325940885View full group profile
NameSpecialtyState
Family PracticeCA
General PracticeHI
Certified Nurse Midwife (Cnm)HI
Physician AssistantHI
Marriage And Family TherapistHI
Clinical PsychologistHI
Internal MedicineOR
Family PracticeHI
P S Y C H I A T R YVA
Nurse PractitionerHI

Reviews

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Frequently asked questions

How do payers reference ILEA BAIN (PSYD)?
For ILEA BAIN (PSYD), use NPI 1588091219 as the unique 10-digit identifier.
Would ILEA BAIN (PSYD) appear as active to a payer?
You can treat ILEA BAIN (PSYD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ILEA BAIN (PSYD)?
ILEA BAIN (PSYD)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is ILEA BAIN (PSYD) located near Kapaau?
ILEA BAIN (PSYD) currently maps to Kapaau, Hawaii in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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