NPIMap

Organization Active NPI

Mindwerks Clinic LLC

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1881291243
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDWERKS CLINIC LLC
Practice address
401 Kamakee St Ste 305
Honolulu, HI 96814-4243
Phone
(808) 220-6236
NPI assigned
Oct 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Haylin Dennison, LCSWNPI 1215260278
Title
Manager
Phone
(808) 364-7592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

401 Kamakee St Ste 305
Honolulu, HI 96814-4243

Mailing address

401 Kamakee St Ste 305
Honolulu, HI 96814-4243
Phone (808) 220-6236

Other names 1

  • Mindwerks Clinic Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://secure.simplepractice.com/ Health Information Exchange (HIE)
Other URL https://secure.simplepractice.com/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1881291243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KAMAKEE ST STE 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144243",
            "telephone_number": "808-220-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KAMAKEE ST STE 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144243",
            "telephone_number": "808-220-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWERKS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "DENNISON",
        "authorized_official_first_name": "HAYLIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-364-7592",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "Electronic Medical Records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 Ala Moana Blvd Ste 7-400",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968134902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 Kamakee St Ste 305",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968144243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mindwerks Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindwerks Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.