DR. MIMI OKAZAKI (NPI# 1861773145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861773145 |
| Entity Type | Individual |
| Full Name | DR. MIMI OKAZAKI |
| Credential | PH.D. |
| Practice Address |
100 N Main St Building 1053 Chattahoochee FL 32324-1107 |
| Practice Telephone | 8506637807 |
| Mailing Telephone | 8506637807 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY 3284 | GA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PY5672 | FL | Behavioral Health & Social Service Providers |
| Street Address |
100 N MAIN ST BUILDING 1053 |
| City | CHATTAHOOCHEE |
| State | FL |
| Zip Code | 32324-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295459 | Mariette Zanders Gray | Nurse Practitioner | 100 N Main St, Chattahoochee, FL 32324-1107 | 2020-11-02 |
| 1043847346 | Tyler Owen Pickens | Registered Nurse | 100 N Main St, Chattahoochee, FL 32324-1107 | 2020-03-25 |
| 1073148698 | Stephanie Mckinnie Beauchamp | Nurse Practitioner | 100 N Main St, Chattahoochee, FL 32324-1107 | 2020-03-04 |
| 1528602497 | Whitney Nicole Wilson | Registered Nurse | 100 N Main St, Chattahoochee, FL 32324-1107 | 2019-11-04 |
| 1174173843 | Lauren Genna Wood | Nurse Practitioner | 100 N Main St, Chattahoochee, FL 32324-1198 | 2019-09-16 |
| 1588129373 | Valtina Lawson | Nurse Practitioner | 100 N Main St, Chattahoochee, FL 32324-1107 | 2019-02-05 |
| 1093210007 | Marites Orogo Nalupa | Nurse Practitioner | 100 N Main St, Chattahoochee, FL 32324-1107 | 2018-03-30 |
| 1689182040 | Christie Ann Maphis | Nurse Practitioner | 100 N Main St, Chattahoochee, FL 32324-1107 | 2018-01-18 |
| 1144764036 | Saim Karakas | Legal Medicine | 100 N Main St, Chattahoochee, FL 32324-1107 | 2016-12-12 |
| 1265887707 | Chelsea Hagen | Behavioral Analyst | 100 N Main St, Chattahoochee, FL 32324-1107 | 2016-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982197141 | Angelcare With Vision | In Home Supportive Care | 3577 Flat Creek Rd, Chattahoochee, FL 32324 | 2018-06-12 |
| 1043414287 | Barbara Paulk Mcclellan | Pharmacist | 35 Jefferson Street, Buy Rite Drugs, Chattahoochee, FL 32324 | 2007-06-12 |
| 1679784789 | James Michael Healy | Psychologist | 29 Pecan Lane, Chattahoochee, FL 32324 | 2007-05-24 |
| 1649365172 | Frank Douglas Johanson | Internal Medicine | 300 Pecan Lane, Chattahoochee, FL 32324 | 2006-10-03 |
| 1457313066 | Christopher Mark Neely | Occupational Therapy Assistant | 318 West Washington St, Chattahoochee, FL 32324 | 2006-04-06 |
| 1174009021 | Angelcare With A Vision | Clinic/Center | 3577 Flat Creek Rd, Chattahoochee, FL 32324 | 2018-07-13 |
| 1417206343 | Karen Denise Lipford | Nurse Practitioner | 100 Main Street, Chattahoochee, FL 32324 | 2012-09-06 |
| 1528107893 | Jeff Landau | Psychiatry & Neurology | 8 S Main St, Chattahoochee, FL 32324 | 2007-02-05 |
| 1851349450 | Tuong T Nguyen | Family Medicine | 1000 N Main St, Chattahoochee, FL 32324 | 2006-05-05 |
| 1659329258 | Tung Ngoc Pham | Psychiatry & Neurology | 1000 N Main St, Chattahoochee, FL 32324 | 2006-05-05 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518234954 | Glen Harold Watson Jr. | Psychologist | Florida State Hospital, Building 1000, Chattahoochee, FL 32324-1000 | 2011-11-30 |
| 1679784789 | James Michael Healy | Psychologist | 29 Pecan Lane, Chattahoochee, FL 32324 | 2007-05-24 |
| 1073880340 | Gary Marc Simmons | Psychologist | 100 North Main Street, Scu, Ward D, Chattahoochee, FL 32304 | 2011-11-30 |
| 1861778177 | Lindsay Owings | Psychologist | 100 N Main St, Chattahoochee, FL 32324-1107 | 2011-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144774 | Jennifer Mcmanus | Psychologist | 4143 San Juan Ave, Jacksonville, FL 32210-3333 | 2020-11-03 |
| 1992304711 | Thomas Francis Ryan | Psychologist | 1015 Sonesta Ave, Brandon, FL 33511-6658 | 2020-10-22 |
| 1912506924 | Emily F. Hoon, Phd, Pllc | Psychologist | 2531 Nw 41st Street, Suite C, Gainesville, FL 32606-7490 | 2020-10-21 |
| 1447866405 | Daniel Martinez | Psychologist | 4765 W Atlantic Ave, Delray Beach, FL 33445-3838 | 2020-09-16 |
| 1134731367 | North Florida Neuropsychology, LLC | Psychologist | 1614 Mahan Center Blvd Ste 104, Tallahassee, FL 32308-5475 | 2020-08-19 |
| 1215547153 | Ellen Frances Price Phd | Psychologist | 7025 Beracasa Way Ste 102c, Boca Raton, FL 33433-3428 | 2020-08-05 |
| 1811515745 | Sarah Amelia Sanon | Psychologist | 10381 Sw 9th Ln, Pembroke Pines, FL 33025-3585 | 2020-07-07 |
| 1720606718 | Carolina Montalvo | Psychologist | 480 Ne 30th St Apt 1606, Miami, FL 33137-4337 | 2020-07-07 |
| 1689291833 | Bridget Cabibi | Psychologist | 10700 Nw 66th St Apt 512, Doral, FL 33178-5508 | 2020-07-02 |
| 1912524414 | Infinity Doctors Inc. | Psychologist | 9821 E Bay Harbor Dr Apt 401, Bay Harbor Islands, FL 33154-1868 | 2020-06-30 |
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| City | CHATTAHOOCHEE |
| Zip Code | 32324 |
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| 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.