MINDWAVE MEDICINE LLC
NPI 1760290787
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mililani, HI

Active since December 23, 2024CLIA 12D2311161 · Waiver
100 KAHELU AVE STE 100, MILILANI, HI 96789(808) 400-5805(866) 756-3916 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mindwave Medicine Llc NPPES

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

MINDWAVE MEDICINE LLC (NPI 1760290787), doing business as Mindwave Medicine, is a healthcare organization registered as a mental health (including community mental health center) in Mililani, Hawaii and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Chelsea Rorer, Owner, as its authorized official.

NPPES Registry Identity

NPI1760290787
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMINDWAVE MEDICINE LLC
Location Address100 KAHELU AVE STE 100Mililani, HI 96789-3913
Mailing Address100 Kahelu Ave Ste 100Mililani, HI 96789-3913 · (808) 400-5805 · Fax (866) 756-3916
Fax(866) 756-3916
Organization SubpartNo
Authorized OfficialChelsea RorerOwner · (808) 400-5805
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 22, 2024
NPI 1760290787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
100 KAHELU AVE STE 100, Mililani, HI 96789

Other Names 1

Doing Business AsMindwave Medicine

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2311161

Mindwave Medicine · Mililani, HI
Active · expires Sep 16, 2026
CLIA Number12D2311161
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorChelsea A. Rorer
Laboratory Phone(727) 418-8466
Laboratory LocationMindwave Medicine100 Kahelu Ave, Ste 100, Mililani, HI 96789
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
100 KAHELU AVE STE 100
MILILANI, HI 96789

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 Mindwave Medicine LLC's NPI number?

The NPI number for Mindwave Medicine LLC is 1760290787. It was assigned to this organization in the NPPES registry on December 23, 2024. The provider is doing business as MindWave Medicine.

Where is Mindwave Medicine LLC located?

Mindwave Medicine LLC is located at 100 Kahelu Ave Ste 100, Mililani, HI 96789. The listed phone number is (808) 400-5805.

What is Mindwave Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Mindwave Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2311161) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mindwave Medicine LLC was last updated on December 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.