1. Home
  2. Directory
  3. Hawaii
  4. Waianae
  5. Psychologist
  6. NPI Profile

DR. MIMI ANDJELIC PSYD
NPI 1053779785
Psychologist - Clinical in Waianae, HI

Active since February 09, 2016PECOS EnrolledAccepts Medicare Assignment
86-260 FARRINGTON HWY, WAIANAE, HI 96792(808) 697-3469 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mimi Andjelic Psyd NPPES

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

DR. MIMI ANDJELIC PSYD (NPI 1053779785) is an individual clinical provider in Waianae, Hawaii, licensed in Hawaii (PSY-1583) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053779785
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MIMI ANDJELICCredential: PSYD
Location Address86-260 FARRINGTON HWYWaianae, HI 96792-3128
Mailing Address3042 Makini StHonolulu, HI 96815-4244 · (808) 224-9825
Phone(808) 697-3469
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 9, 2016
✔ NPI 1053779785 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 · PSY-1583
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.
86-260 FARRINGTON HWY, Waianae, HI 96792
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mimi Andjelic Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658678941
PECOS Enrollment IDI20160331002078
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96792 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 20

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

MS. HEATHER SALVADOR APRN
Nurse Practitioner (Family)
86-260 FARRINGTON HWY
WAIANAE, HI 96792
Honolulu County (808) 697-3300
SAMUEL JIUN JUNG FNP-C
Nurse Practitioner (Family)
86-260 FARRINGTON HWY
WAIANAE, HI 96792
Honolulu County (808) 772-9673
DR. ROBERT S.Y. YOUNG M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
86-260 FARRINGTON HWY
WAIANAE, HI 96792
Honolulu County (808) 696-7081
MS. STEPHANIE M BELL MSW, LCSW, DCSW
Social Worker (Clinical)
86-260 FARRINGTON HWY
WAIANAE, HI 96792
Honolulu County (808) 696-7081
SHYANI TERUKINA
Student in an Organized Health Care Education/Training Program
86-260 FARRINGTON HWY
WAIANAE, HI 96792
Honolulu County (808) 697-3000
MS. JESSICA LYNN DELA CRUZ LOZANO RDH
Dental Hygienist
86-260 FARRINGTON HWY
WAIANAE, HI 96792
Honolulu County (808) 697-3300
CARA LAWLER DMD
Student in an Organized Health Care Education/Training Program
86-260 FARRINGTON HWY
WAIANAE, HI 96792
Honolulu County (808) 697-3300
DR. EDUARDO ALPAY TAN M.D.
Emergency Medicine
86-260 FARRINGTON HWY
WAIANAE, HI 96792
Honolulu County (315) 751-7747

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 Mimi Andjelic's NPI number?

The NPI number for Mimi Andjelic is 1053779785. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Mimi Andjelic located?

Mimi Andjelic practices at 86-260 Farrington Hwy, Waianae, HI 96792. The listed phone number is (808) 697-3469.

What is Mimi Andjelic's specialty?

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

Is Mimi Andjelic enrolled in Medicare?

Yes. Mimi Andjelic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mimi Andjelic accept?

Health plans from HMSA list Mimi Andjelic 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 Mimi Andjelic was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.