Active NPI
Gina Ann Leong Samala, PSY.D.
- Clinical Psychologist
- Mililani, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-756
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 912194012 | Medicaid | HI |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-756 | HI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gina Leong Samala, Psy.D, Inc. | Clinical | Current | 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.
-
- Clinical Psychologist
- Mililani, HI
- NPI 1255517652
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.