Pacific Shores Psychology LLC

Psychologist, Clinical in Honolulu, HI. Organization (NPI-2).

NPI number1104500552

StatusActive

Last updated in NPPESFeb 17, 2026

Details

NPI: 1104500552
Entity type: Organization (NPI-2)
Legal business name: Pacific Shores Psychology LLC
Organization subpart: No
Enumeration date: Jun 14, 2023
Certification date: Feb 17, 2026
Last updated: Feb 17, 2026

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	–	–	Yes

Practice location

401 Kamakee St
Suite #405
Honolulu, HI 96814

Phone 808-444-5944

Mailing address

401 Kamakee St Ste 405
Honolulu, HI 96814-4261

Phone 808-444-5944

Authorized official

Christine Rollins Hernandez
Clinical Psychologist
8084445944

Is something wrong?

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Other Clinical Psychologist providers in Honolulu, HI

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