{"npi":"1760290787","type":"NPI-2","status":"active","name":{"display":"Mindwave Medicine LLC","other":[],"organization_name":"MINDWAVE MEDICINE LLC","authorised_official":"Chelsea Rorer"},"specialty":{"primary_taxonomy":"261QM0801X","primary_taxonomy_description":"Mental Health Clinic/Center (Including Community Mental Health Center)","slug":"mental-health-clinic-center-including-community-mental-health-center","schema_org_specialty":null,"all":[{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"100 KAHELU AVE STE 100","city":"MILILANI","state":"HI","postal_code":"967893913","country_code":"US","phone":"8084005805","fax":"8667563916"},{"purpose":"MAILING","street_1":"100 KAHELU AVE STE 100","city":"MILILANI","state":"HI","postal_code":"967893913","country_code":"US","phone":"8084005805","fax":"8667563916"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250304001161","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"HI","pac_id":"4789105040"}]},"enumeration_date":"2024-12-23","last_updated":"2024-12-23","_meta":{"source":"NPPES","snapshot_date":"2024-12-23","doc_url":"https://findmynpi.com/api"}}