MEDICARE: MINDWORKS PSYCHOLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1700762861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDWORKS PSYCHOLOGY

Provider Business Mailing Address
First Line	:	1003 BISHOP ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-6400
Country	:	US
Telephone Number	:	808-999-9683
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 BISHOP ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-6400
Country	:	US
Telephone Number	:	808-999-9683
Fax Number	:	866-740-0632

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	ELSA LEE
Credential	:	PHD
Telephone Number	:	646-389-2283

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	02/04/2026

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Directions to “MINDWORKS PSYCHOLOGY ” Practice Location

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