Healthcare Provider Details

I. General information

NPI: 1700762861
Provider Name (Legal Business Name): MINDWORKS PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 OHANA NUI WAY
HONOLULU HI
96818-4414
US

IV. Provider business mailing address

1615 MAKIKI ST
HONOLULU HI
96822-4431
US

V. Phone/Fax

Practice location:
  • Phone: 646-389-2283
  • Fax:
Mailing address:
  • Phone: 646-389-2283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: ELSA LEE
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 646-389-2283