Amber K. Gomes, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

241 Issued in HI

Practice address

302 California Ave
Suite 212
Wahiawa, HI 96786-1841

Phone

(808) 781-8298

Fax

(844) 364-0160

NPI assigned

Jun 19, 2010

Last updated

Feb 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2017

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)

Medicare enrollment (NPD)

Enrolled

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.

• Gina Leong Samala, Psy.D, Inc.

  • Clinical Psychologist
  • Mililani, HI
  • NPI 1255517652
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1467773846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1035 AMAAMA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063506",
            "telephone_number": "808-781-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CALIFORNIA AVE",
            "address_2": "SUITE 212",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861841",
            "telephone_number": "808-781-8298",
            "fax_number": "844-364-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMES",
        "first_name": "AMBER",
        "middle_name": "K.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-19",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dave Teruo Fukuhara, DDS
• Jolene Alexandra Galaviz, MSN, APRN, FNP-C
• Paige Gardiner, CLD, CPD, CLSE
• Brianna L Gates
• Maryam Khayami Goca
• Elizabeth Greene, M.S., MFT
• Amanda Grode
• Weslie Miyuki Hamada, O.D.
• Reyanne Harada-Kaku
• Harold Masunaga DDS Inc (harold h masunaga dds inc)

• Marriage & Family Therapist in Wahiawa, HI
• Providers in Wahiawa, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.