DR. SAMANTHA TAVARES PSY.D.
NPI 1609097781
Psychologist - Clinical in Honolulu, HI

Q: What is Samantha Tavares's NPI number?

The NPI number for Samantha Tavares is 1609097781. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Samantha Tavares's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Tavares was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 02, 2007PECOS Enrolled

1016 KAPAHULU AVE STE 265, HONOLULU, HI 96816(808) 342-3377 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Samantha Tavares Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA TAVARES PSY.D. (NPI 1609097781) is an individual clinical provider in Honolulu, Hawaii, licensed in Hawaii (589) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609097781

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SAMANTHA TAVARESCredential: PSY.D.

Location Address1016 KAPAHULU AVE STE 265Honolulu, HI 96816-1318

Mailing AddressPo Box 11215Honolulu, HI 96828-0215 · (808) 342-3377

Phone(808) 342-3377

Sole ProprietorYes

Enumeration DateMay 2, 2007

Last NPPES UpdateJune 10, 2021

NPPES CertifiedJune 10, 2021

✔ NPI 1609097781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in HI · 589

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1016 KAPAHULU AVE STE 265, Honolulu, HI 96816

Open in Google Maps ↗

Secondary Practice Locations 2

Location 143 Oneawa St Ste 211Kailua, HI 96734-2526 · Phone (808) 261-3731

Location 21441 Ala Moana BlvdHonolulu, HI 96814 · Phone (808) 432-7600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha Tavares Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Tavares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Inc

2.3 mi

Radiology

1010 PENSACOLA ST, RADIOLOGY DEPARTMENT
Honolulu, HI 96814

Reassigned Medicare billing, Hawaii enrollment
206 clinicians in this Medicare group

NPI 1063515567 (808) 432-2130

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96816 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.05 typical visit price

range $60.53 – $180.05

Typical copayment $45.01 (range $15.13 – $45.01)

Most-billed visit code 99205

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRATIBHA SHULAMIT EASTWOOD, PHD, INC.

Psychologist

1016 KAPAHULU AVE STE 265
HONOLULU, HI 96816

Honolulu County (808) 214-9253

DR. SEAN WYMAN SCANLAN PH.D.

Psychologist (Clinical)

1016 KAPAHULU AVE STE 265
HONOLULU, HI 96816

Honolulu County (808) 277-7577

PRATIBHA SHULAMIT EASTWOOD PH.D.

Psychologist

1016 KAPAHULU AVE STE 265
HONOLULU, HI 96816

Honolulu County (808) 214-9253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Tavares's NPI number?

The NPI number for Samantha Tavares is 1609097781. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Samantha Tavares located?

Samantha Tavares practices at 1016 Kapahulu Ave Ste 265, Honolulu, HI 96816. The listed phone number is (808) 342-3377.

What is Samantha Tavares's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Samantha Tavares enrolled in Medicare?

Yes. Samantha Tavares is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Tavares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Tavares reassigns Medicare benefits to Kaiser Foundation Health Plan Inc (Honolulu, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Tavares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Tavares accept?

Health plans from HMSA list Samantha Tavares as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Tavares was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.