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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
MA | Behavioral Health & Social Service Providers |
Street Address |
43 GARRISON RD |
City | BROOKLINE |
State | MA |
Zip Code | 02445-4445 |
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 |
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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 |
Find all providers in zip 02445 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
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 |
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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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.