DR. GRETCHEN ANN MIMS (NPI# 1639455348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639455348 |
| Entity Type | Individual |
| Full Name | DR. GRETCHEN ANN MIMS |
| Credential | LMSW, PH.D |
| Practice Address |
81 Bolton Trl North Chili NY 14514-9774 |
| Practice Telephone | 5858896429 |
| Mailing Telephone | 5858896429 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
072120-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
81 BOLTON TRL |
| City | NORTH CHILI |
| State | NY |
| Zip Code | 14514-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508381104 | Renee Gelsomino | Social Worker | 137 Christina Drive, North Chili, NY 14514 | 2017-08-04 |
| 1841668282 | Jeremy Allen Sajdak | Physical Therapist | 3237 Union St, North Chili, NY 14514 | 2015-09-02 |
| 1205187002 | Ogden Pediatrics | Pediatrics | 4415 Buffalo Road, Suite 1b, North Chili, NY 14514 | 2012-09-20 |
| 1780934547 | Nicole Sue Smith | Registered Nurse | 41 Arthurian Way, North Chili, NY 14514 | 2012-09-19 |
| 1710196837 | Isgoohi Washington | Registered Nurse | 9 Tynedale Way, North Chili, NY 14514 | 2007-05-22 |
| 1669570578 | David Robert Stachnik | Pharmacist | 4366 Buffalo Rd., N. Chili, NY 14514 | 2006-09-21 |
| 1114941846 | Jonathan Hager | Internal Medicine | 4201 Bufffalo Road, North Chili, NY 14514 | 2006-07-26 |
| 1629027974 | Timothy Clark | Physician Assistant | 4201 Buffalo Road, North Chili, NY 14514 | 2006-05-06 |
| 1528495777 | Robert Patrick Lawler | Physician Assistant | 4201 Buffalo Rd, North Chili, NY 14514 | 2013-10-02 |
| 1790916682 | Colleen Irene Kurdziel | Pharmacist | 4366 Buffalo Rd, North Chili, NY 14514 | 2009-07-27 |
| Find all providers in zip 14514 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508381104 | Renee Gelsomino | Social Worker | 137 Christina Drive, North Chili, NY 14514 | 2017-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584891 | Alliah Irtan | Social Worker | 20 Randall Ave Apt 3m, Freeport, NY 11520-2756 | 2020-10-02 |
| 1144834045 | Luis Steven Maisonet | Social Worker | 255 Porter Ave, Buffalo, NY 14201-1051 | 2020-09-08 |
| 1386258135 | Kimberly Lama Khan | Social Worker | 301 Henry St Fl 1, New York, NY 10002-4840 | 2020-08-31 |
| 1801406327 | Simone Curling | Social Worker | 93 Lewis Ave Apt 10a, Brooklyn, NY 11206-7031 | 2020-08-10 |
| 1720604622 | Matthew Joseph Danis | Social Worker | 219 W 15th St Apt 1f, New York, NY 10011-6449 | 2020-06-17 |
| 1710512538 | Carmen I Ramos | Social Worker | 580 Castle Hill Ave Apt 7a, Bronx, NY 10473-1514 | 2020-03-12 |
| 1134753429 | Susan London | Social Worker | 5 Peter Cooper Rd Apt Me, New York, NY 10010-6635 | 2020-02-26 |
| 1952948432 | Esmeralda Murati | Social Worker | 65 Tuckahoe Ave, Eastchester, NY 10709-3624 | 2019-12-04 |
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1891345781 | Danielle Tooley | Social Worker | 403 Broadway, Kingston, NY 12401-4625 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHILI |
| Zip Code | 14514 |
Please comment or provide details below to improve the information on DR. GRETCHEN ANN MIMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.