Gina Leong Samala, Psy.D, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-756 Issued in HI

Legal business name

GINA LEONG SAMALA, PSY.D, INC.

Practice address

95-1249 Meheula Pkwy
Suite B30 Unit 195
Mililani, HI 96789-1779

Phone

(808) 625-7448

Fax

(808) 625-7448

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gina Leong Samala, PSY.D.

Title

President

Phone

(808) 625-7448

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber K. Gomes, MFT

  • Marriage & Family Therapist
  • Wahiawa, HI
  • NPI 1467773846
  Medicare reassignment Care Compare group NPD
• Lisa KT Jicha, LCSW, CSAC

  • Clinical Social Worker
  • Mililani, HI
  • NPI 1356515498
  Medicare reassignment Care Compare group NPD
• Gina Ann Leong Samala, PSY.D.

  • Clinical Psychologist
  • Mililani, HI
  • NPI 1386869691
  Medicare reassignment Care Compare group NPD
• Michelle Kawasaki, PH.D.

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1932568367
  Medicare reassignment NPD
• Jodi Ann Taira, MA

  • Mental Health Counselor
  • Mililani, HI
  • NPI 1669003182

  Single Specialty

  NPD

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1255517652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85-979 FARRINGTON HWY STE C",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922678",
            "telephone_number": "808-625-7448",
            "fax_number": "808-625-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-1249 MEHEULA PKWY",
            "address_2": "SUITE B30 UNIT 195",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891779",
            "telephone_number": "808-625-7448",
            "fax_number": "808-625-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA LEONG SAMALA, PSY.D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "SAMALA",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LEONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-625-7448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56756301",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PIN",
            "identifier": "H56631",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Gerhart
• Jacquelyn Susan Geringer, LMHC
• Shea Gerrian
• Joanne Getty, BCBA, LBA
• Tuan Giang
• Melissa Diane Giron-Bauer, LMFT
• Carly Glassmeyer, BCBA
• Hannah Glew
• Abbygail Godbout
• Katherine K Godwin, MS OTR/L CHT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.