Individual provider Active NPI

Gina Ann Leong Samala, PSY.D.

  • Clinical Psychologist
  • Mililani, HI
National Provider Identifier
1386869691
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-756 Issued in HI
Practice address
100 Kahelu Ave Ste 232
Mililani, HI 96789-3962
Phone
(808) 625-7448
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-756 HI Primary

Addresses

Primary practice location

100 Kahelu Ave Ste 232
Mililani, HI 96789-3962

Mailing address

PO Box 125
Waialua, HI 96791-0125
Phone (808) 625-7448

Other practice location 1

95-1249 Meheula Pkwy Ste 194
Mililani, HI 96789-1791
Phone (808) 625-7448

Other identifiers 1

IdentifierTypeStateIssuer
912194012MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000461 HI Practitioner - Clinical Psychologist 4587646203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gina Leong Samala PSYD IncGroup PAC ID 1153303912, 3 clinicians

Practice addresses (Care Compare)

95 -1249 Meheula Pkwy
Suite 195
Mililani, HI 96789-1791
Phone (808) 625-7448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-756HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gina Leong Samala, Psy.D, Inc. Clinical CurrentSince May 28, 2004 Accepting new patients

Locations

95-1249 Meheula Pkwy
Ste 195
Mililani, HI 96789
Phone (808) 623-6375

100 Kahelu Ave
Ste 101
Mililani, HI 96789
Phone (808) 625-7448

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1386869691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "WAIALUA",
            "state": "HI",
            "postal_code": "967910125",
            "telephone_number": "808-625-7448",
            "fax_number": "808-200-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 232",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893962",
            "telephone_number": "808-625-7448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95-1249 Meheula Pkwy Ste 194",
            "address_purpose": "LOCATION",
            "city": "Mililani",
            "state": "HI",
            "postal_code": "967891791",
            "country_code": "US",
            "telephone_number": "808-625-7448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMALA",
        "first_name": "GINA",
        "middle_name": "ANN LEONG",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912194012",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.