Mindwave Medicine LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDWAVE MEDICINE LLC

Practice address

100 Kahelu Ave Ste 100
Mililani, HI 96789-3913

Phone

(808) 400-5805

Fax

(866) 756-3916

NPI assigned

Dec 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chelsea Rorer, PMHNP-BC, AGACNP-BCNPI 1356852016

Title

Owner

Phone

(808) 400-5805

Specialties & licenses 1

Addresses

Other names 1

• MindWave Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Chelsea Ann Rorer, PMHNP-BC, AGACNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mililani, HI
  • NPI 1356852016
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1760290787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 100",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893913",
            "telephone_number": "808-400-5805",
            "fax_number": "866-756-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 100",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893913",
            "telephone_number": "808-400-5805",
            "fax_number": "866-756-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWAVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "RORER",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-400-5805",
        "authorized_official_credential": "PMHNP-BC, AGACNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindWave Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melannie Miller, APRN
• Minerva Pasquin Miller
• Dallas Millwood
• Kelly Milot, APRN
• Mindful Solutions Therapy LLC
• Alexis Mingione
• Colleen Mino
• Naline Miprano
• Bruce Miranda
• Destiny Mitchell

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mililani, HI
• Providers in Mililani, HI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.