Samuel Alexander, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DOS-2561 Issued in HI

Practice address

120 Kaiulani Ave Ste KW12
Honolulu, HI 96815-6203

Phone

(808) 378-3665

NPI assigned

Mar 29, 2020

Last updated

Mar 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sammy Alexander Other name

Medicare fee-for-service enrollment

Enrolled in HI, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Liberty Univ College of Osteopathic Medicine, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• S Alexander PLLC

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1952136152
  NPD Authorized official
• Orthopedics Hawaii

  • Orthopaedic Surgery Physician
  • Honolulu, HI
  • NPI 1831844950
  NPD
• Department of State Hospitals

  dba Department of State Hospitals-Atascadero

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1255969036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 KAIULANI AVE STE KW12",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968156203",
            "telephone_number": "808-378-3665",
            "fax_number": "808-649-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KAIULANI AVE STE KW12",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968156203",
            "telephone_number": "808-378-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "DOS-2561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMMY",
            "last_name": "ALEXANDER",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheila Moana Marie Alexander Bart, PSY.D.
• Alexander Seto Therapy LLC
• Bridget Lee Alexander
• Heidi Sabine Alexander, L.AC.
• Ramona Gweneth Alexander, BEHAVIOR TECHNICIAN
• Alexis Lane LLC (Growthroughit808)
• Nathan Wayne Alfaro
• Priscilla Jeanne Alfaro, M.D.
• Shanmarie Alferez
• Angela Mae Fernandez Alfonzo, PHARM.D.

• Psychiatry Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.