MS. CRYSTAL O'NEAL MIMS


Address: 43 Garrison Rd, Brookline, MA 02445-4445
Phone: 6172778107

MS. CRYSTAL O'NEAL MIMS (NPI# 1972930527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972930527
Entity Type Individual
Full Name MS. CRYSTAL O'NEAL MIMS
Practice Address 43 Garrison Rd
Brookline
MA 02445-4445
Mailing Address 168 Pond St
Randolph
MA 02368-2621
Practice Telephone 6172778107
Mailing Telephone 6175944852
Mailing Fax Number 6179655313
Enumeration Date 2013-09-27
Last Update Date 2013-09-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
MA Behavioral Health & Social Service Providers

Office Location

Street Address 43 GARRISON RD
City BROOKLINE
State MA
Zip Code 02445-4445

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093787947 Karin Ballay Social Worker 43 Garrison Rd, Brookline, MA 02445-4445 2006-02-05
1982221552 Julliet Upadhyay Social Worker 43 Garrison Rd, Brookline, MA 02445-4445 2020-06-30
1144879727 Lauren Irene Grenier Student in an Organized Health Care Education/Training Program 43 Garrison Rd, Brookline, MA 02445-4445 2019-09-06
1376028704 Mara J Richman Counselor 43 Garrison Rd, Brookline, MA 02445-4445 2018-10-02
1306327689 Nina E Campanile Student in an Organized Health Care Education/Training Program 43 Garrison Rd, Brookline, MA 02445-4445 2018-08-24
1114445830 Stephen Robert Grigelevich Social Worker 43 Garrison Rd, Brookline, MA 02445-4445 2017-09-01
1114397320 Leslie Talmadge Student in an Organized Health Care Education/Training Program 43 Garrison Rd, Brookline, MA 02445-4445 2015-09-30
1023407079 Nava Mermelstein Social Worker 43 Garrison Rd, Brookline, MA 02445-4445 2015-01-14
1821490491 Samantha Fils Counselor 43 Garrison Rd, Brookline, MA 02445-4445 2014-09-25
1477954295 Brookline Community Mental Health Center Inc Community/Behavioral Health 43 Garrison Rd, Brookline, MA 02445-4445 2014-09-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316582117 Isha Gujrathi Student in an Organized Health Care Education/Training Program Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 2019-11-15
1518432673 Lois Lange Social Worker 349 Clark Road, Brookline, MA 02445 2018-10-04
1548775190 Neurodevelopmental Educational Services, Pllc Social Worker 26 Edgehill Road, Brookline, MA 02445 2017-12-05
1942654231 Elena Carolina Itriago Araujo Student in an Organized Health Care Education/Training Program 358 Tappan St, Brookline, MA 02445 2016-04-22
1477920098 Kayoko Obara, Dmd PC Clinic/Center 77 Pond Ave., #103, Brookline, MA 02445 2015-08-31
1700203668 Sophie-charlotte Hofferberth Student in an Organized Health Care Education/Training Program 93 Evans Road, Brookline, MA 02445 2014-03-27
1639503535 Kieran Evans Social Worker 43 Garrison Road, Brookline, MA 02445 2013-08-27
1437412467 Joel Simons Psychologist 1683 Beacon St, Brookline, MA 02445 2012-06-25
1710252861 Lin Shen Internal Medicine 375 Boylston St, Brookline, MA 02445 2012-03-21
1992074645 Christine Beatriz Arismendi Counselor 16 University Road Apartment 1, Brookline, MA 02445 2011-12-27
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093212615 Julie Gold Psychologist 247 Tappan St, Brookline, MA 02445-5308 2018-04-10
1245886456 Shannon R. Pickett Psychologist 1269 Beacon St, Brookline, MA 02446-5248 2019-08-13
1306492970 Christina Zawalski Psychologist 1269 Beacon St, Brookline, MA 02446-5248 2019-08-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235730151 Jennifer Beardslee Psychologist 116 Bridge St, Beverly, MA 01915-2851 2020-11-06
1114536554 Jonathan Mari Psychologist 55 Cedar St Apt 2, Somerville, MA 02143-2289 2020-07-30
1275150807 Tessa Lashley Psychologist 19 Meadow Pond Dr Apt K, Leominster, MA 01453-4252 2020-06-30
1003431644 Christina Young Psychologist 340 Lowell St, Wakefield, MA 01880-1726 2020-06-09
1134743651 Lin Tang Psychologist 60 Rolling Ridge Rd, Amherst, MA 01002-1419 2020-06-01
1356964985 Lori Sawyer Psychologist 372 Olivia Dr, Northbridge, MA 01534-1292 2020-05-18
1114566957 Kelly Giorgi Psychologist 1601b South St, Barre, MA 01005-8822 2019-12-26
1154968147 Kimberly Trainor Psychologist 360 W Boylston St Rm 208, West Boylston, MA 01583-2384 2019-12-09
1154976264 Jillian Goodrich Psychologist 629 Massachusetts Ave Ste 201, Boxborough, MA 01719-1528 2019-08-06
1801371307 Alisa Pozner Psychologist 51 Hatch St, Marshfield, MA 02050-2449 2018-10-01
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Competitor

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City BROOKLINE
Zip Code 02445

Improve Information

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Dataset Information

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.

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