HOOMALIE PSYCHIATRY LLC
NPI 1578348751
Nurse Practitioner - Psychiatric/Mental Health in Lahaina, HI

Active since August 28, 2023
673 KAAKOLU ST, LAHAINA, HI 96761(808) 281-9342(808) 481-0010 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2024, Oct 16, 2023, Aug 28, 2023 (3 updates tracked since 2023).

About Hoomalie Psychiatry Llc NPPES

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

HOOMALIE PSYCHIATRY LLC (NPI 1578348751) is a healthcare organization registered as a psychiatric/mental health in Lahaina, Hawaii and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Windsor and lists Debra M Bates, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1578348751
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHOOMALIE PSYCHIATRY LLC
Location Address673 KAAKOLU STLahaina, HI 96761-1341
Mailing AddressPo Box 1154Makawao, HI 96768-1154 · (808) 281-9342 · Fax (808) 481-0010
Fax(808) 481-0010
Organization SubpartNo
Authorized OfficialDebra M BatesPmhnp · (808) 281-9342
Enumeration DateAugust 28, 2023
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1578348751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
673 KAAKOLU ST, Lahaina, HI 96761

Secondary Practice Location 1

Location 1951 Maplebrook DrWindsor, CO 80550-3924 · Phone (808) 281-9611 · Fax (808) 481-0010

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hoomalie Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hoomalie Psychiatry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1457928764
1152 HERMES AVE
Encinitas, CA 92024
(808) 281-9342
✔ PECOS✔ Accepts Medicare2,552 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hoomalie Psychiatry LLC's NPI number?

The NPI number for Hoomalie Psychiatry LLC is 1578348751. It was assigned to this organization in the NPPES registry on August 28, 2023.

Where is Hoomalie Psychiatry LLC located?

Hoomalie Psychiatry LLC is located at 673 Kaakolu St, Lahaina, HI 96761. The listed phone number is (808) 281-9342.

What is Hoomalie Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Hoomalie Psychiatry LLC enrolled in Medicare?

Yes. Hoomalie Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hoomalie Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hoomalie Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hoomalie Psychiatry LLC was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.