Kintsugi Center for Healing LLC
NPI 1245002336 · Clinical Psychologist · Aiea, HI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kintsugi Center for Healing LLC is a Clinical Psychologist organization in Aiea, HI (NPI 1245002336).
Provider details
- NPI number
- 1245002336
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Stephanie Phan, Owner/Ceo(408) 614-4854
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-23
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Frequently asked questions
- What is Kintsugi Center for Healing LLC's NPI number?
- Kintsugi Center for Healing LLC's National Provider Identifier (NPI) is 1245002336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kintsugi Center for Healing LLC?
- Kintsugi Center for Healing LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kintsugi Center for Healing LLC located?
- Kintsugi Center for Healing LLC's practice location on file with NPPES is 98-211 Pali Momi St Ste 600, Aiea, HI 96701-4337.
- What is Kintsugi Center for Healing LLC's phone number?
- The practice phone number listed in the NPPES registry for Kintsugi Center for Healing LLC is (808) 201-9059.
- Does Kintsugi Center for Healing LLC accept Medicare?
- Kintsugi Center for Healing LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kintsugi Center for Healing LLC?
- The authorized official listed on Kintsugi Center for Healing LLC's NPPES record is Stephanie Phan, Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kintsugi Center for Healing LLC's NPI active?
- Yes — Kintsugi Center for Healing LLC's NPI (1245002336) is active in the NPPES registry as of the last update on 2023-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.