Dr Samantha Tavares LLC – Clinical Psychologist

Key facts

NPI: 1760304992
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Psychologist 103TC0700X
Legal business name: DR SAMANTHA TAVARES LLC
Practice address: 3137 Huelani PL
Honolulu, HI 96822-1238
Phone: (808) 342-3377
NPI assigned: Jul 28, 2026
Organization subpart: No

Authorized official

Name: Dr. Samantha Tavares, P.SYD. NPI 1609097781
Title: Owner/Licensed Psychologist
Phone: (808) 342-3377

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

Samantha Tavares, PSY.D. Clinical Psychologist · Honolulu, HI · NPI 1609097781

NPD (past) Authorized official CLINICAL
Nikolaos Carpodinis Counselor · Honolulu, HI · NPI 1760711212

NPD (past)

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist Group: 193400000X SINGLE SPECIALTY GROUP	103TC0700X			Yes

Addresses

Primary practice location

3137 Huelani PL
Honolulu, HI 96822-1238

Mailing address

PO Box 11215
Honolulu, HI 96828-0215
Phone (808) 342-3377

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 28, 2026.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1760304992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11215",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968280215",
            "telephone_number": "808-342-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 HUELANI PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221238",
            "telephone_number": "808-342-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SAMANTHA TAVARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-342-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.SYD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

All providers in Honolulu, HI · Clinical Psychologist in Hawaii

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.