Rae Lori Sandler Simon, PYSD, BBA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1972 Issued in HI

Practice address

65-1235 Opelo Rd Ste 2
Kamuela, HI 96743-8454

Phone

(808) 490-8469

NPI assigned

May 31, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Business Administration

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1093608796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1235 OPELO RD STE 2",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438454",
            "telephone_number": "808-490-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1235 OPELO RD STE 2",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438454",
            "telephone_number": "808-490-8469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1756 N High St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181300",
            "country_code": "US",
            "telephone_number": "303-656-0122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDLER SIMON",
        "first_name": "RAE",
        "middle_name": "LORI",
        "name_prefix": "Dr.",
        "credential": "PYSD, BBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3404",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron D Ah Loy MD Inc
• Rostau Chiropractic LLC
• Ashlyn Kalama Russell, DC
• Denise Anne Salomie, LMT
• Maluhiaokekai'Ena Sanchez, RN
• Tiffany Pualei Santore, PHARMD
• Jared Thomas Schmitz
• Serendipity
• Serendipity, LLC
• Kristin Shaw, LMT

• Clinical Psychologist in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.