Healthcare Provider Details

I. General information

NPI: 1639255862
Provider Name (Legal Business Name): SASHA KARIEL PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59-650 ALAPIO RD
HALEIWA HI
96712-9511
US

IV. Provider business mailing address

59-650 ALAPIO RD
HALEIWA HI
96712-9511
US

V. Phone/Fax

Practice location:
  • Phone: 808-725-2470
  • Fax:
Mailing address:
  • Phone: 808-271-3244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 438
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: