TIFFANY JA'RAE WILSON-LANDRUM MA, PSYD
NPI 1447849609
Psychologist - Clinical in Honolulu, HI

Q: What is Tiffany Wilson-landrum's NPI number?

The NPI number for Tiffany Wilson-landrum is 1447849609. It was assigned to this individual provider in the NPPES registry on January 12, 2021. The provider is also known as Tiffany Ja'rae Wilson Ma.

Q: What is Tiffany Wilson-landrum's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 12, 2021PECOS EnrolledAccepts Medicare Assignment

1441 KAPIOLANI BLVD STE 1802, HONOLULU, HI 96814(808) 525-6255(808) 525-6256 Get Directions Write a Review

NPPES record last updated: May 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2023, Jul 30, 2021, Jan 12, 2021 (3 updates tracked since 2021).

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About Tiffany Ja'rae Wilson-landrum Ma, Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY JA'RAE WILSON-LANDRUM MA, PSYD (NPI 1447849609) is an individual clinical provider in Honolulu, Hawaii, licensed in Hawaii (PSY-1909) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1447849609

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTIFFANY JA'RAE WILSON-LANDRUMCredential: MA, PSYD

Location Address1441 KAPIOLANI BLVD STE 1802Honolulu, HI 96814-4408

Mailing Address86-058 Alta StWaianae, HI 96792-3031 · (808) 358-0800 · Fax (808) 525-6256

Phone(808) 525-6255

Fax(808) 525-6256

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 12, 2021

Last NPPES UpdateMay 6, 20233 updates tracked since enumeration

NPPES CertifiedMay 6, 2023

✔ NPI 1447849609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in HI · PSY-1909

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1441 KAPIOLANI BLVD STE 1802, Honolulu, HI 96814

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Other Names 1

Former Name (1)Tiffany Ja'rae Wilson Ma

Secondary Practice Locations 2

Location 141-1295 Kalanianaole HwyWaimanalo, HI 96795-1536 · Phone (808) 259-7948 · Fax (808) 259-7447

Location 256-117 Pualalea StKahuku, HI 96731-2052 · Phone (808) 293-9221

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Ja'rae Wilson-landrum Ma, Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880098375

PECOS Enrollment IDI20210805000967

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.05 typical visit price

range $60.53 – $180.05

Typical copayment $45.01 (range $15.13 – $45.01)

Most-billed visit code 99205

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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