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ANGEL MIMS
NPI 1073236121
Psychologist - Clinical Child & Adolescent in Ann Arbor, MI

Active since September 23, 2022
3005 BOARDWALK ST STE 201, ANN ARBOR, MI 48108(734) 222-9277 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angel Mims NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL MIMS (NPI 1073236121) is an individual clinical child & adolescent provider in Ann Arbor, Michigan, licensed in Michigan (6352000753) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1073236121
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameANGEL MIMS
Location Address3005 BOARDWALK ST STE 201Ann Arbor, MI 48108-5218
Mailing Address3005 Boardwalk St Ste 201Ann Arbor, MI 48108-5218
Phone(734) 222-9277
Sole ProprietorNo
Enumeration DateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
✔ NPI 1073236121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MI · 6352000753
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
3005 BOARDWALK ST STE 201, Ann Arbor, MI 48108
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Other Identifiers 1

Other6352000753MI · Tllp

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLURA MALCOLM
Psychologist (Clinical)
3005 BOARDWALK ST STE 201
ANN ARBOR, MI 48108
Washtenaw County (734) 222-9277
MORGAN RAGAZZONE LMSW-C
Social Worker (Clinical)
3005 BOARDWALK ST STE 201
ANN ARBOR, MI 48108
Washtenaw County (734) 222-9277
CHRISTOPHER KYLE OWEN
Psychologist (Clinical Child & Adolescent)
3005 BOARDWALK ST STE 201
ANN ARBOR, MI 48108
Washtenaw County (734) 222-9277
SYD LIO RILEY LLMSW
Social Worker
3005 BOARDWALK ST STE 201
ANN ARBOR, MI 48108
Washtenaw County (734) 222-9277
JANELLE SCHENK LLMSW
Social Worker (Clinical)
3005 BOARDWALK ST STE 201
ANN ARBOR, MI 48108
Washtenaw County (724) 222-9277
MELANIE ROSE
Social Worker (Clinical)
3005 BOARDWALK ST STE 201
ANN ARBOR, MI 48108
Washtenaw County (734) 222-9277
JESSI GHOLAMI LCSW-C
Social Worker (Clinical)
3005 BOARDWALK ST STE 201
ANN ARBOR, MI 48108
Washtenaw County (734) 222-9277
EWA WILKINSON LLP
Psychologist (Clinical)
3005 BOARDWALK ST STE 201
ANN ARBOR, MI 48108
Washtenaw County (734) 222-9277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Mims's NPI number?

The NPI number for Angel Mims is 1073236121. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Angel Mims located?

Angel Mims practices at 3005 Boardwalk St Ste 201, Ann Arbor, MI 48108. The listed phone number is (734) 222-9277.

What is Angel Mims's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Angel Mims was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.