KOYONNE MIMS PH.D.
NPI 1396095279
Psychologist - Clinical in Detroit, MI

Q: What is Koyonne Mims's NPI number?

The NPI number for Koyonne Mims is 1396095279. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Q: What is Koyonne Mims's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Koyonne Mims was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 18, 2012

4160 WOODWARD AVE, DETROIT, MI 48201(313) 757-1922 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Koyonne Mims Ph.d. NPPES

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

KOYONNE MIMS PH.D. (NPI 1396095279) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6301015553) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1396095279

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKOYONNE MIMSCredential: PH.D.

Location Address4160 WOODWARD AVEDetroit, MI 48201-2027

Mailing Address4160 Woodward AveDetroit, MI 48201-2027

Phone(313) 757-1922

Sole ProprietorYes

Enumeration DateSeptember 18, 2012

Last NPPES UpdateJune 24, 2015

✔ NPI 1396095279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301015553

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4160 WOODWARD AVE, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

JENNIFER RADER LLMSW

Social Worker

4160 WOODWARD AVE
DETROIT, MI 48201

Wayne County (313) 656-4052

BROOKE WILLIAMS

Psychologist (Clinical)

4160 WOODWARD AVE, 2ND FLOOR
DETROIT, MI 48201

Wayne County (313) 656-4052

CORA SCOTT

Psychologist (Clinical)

4160 WOODWARD AVE
DETROIT, MI 48201

Wayne County (313) 656-4052

SARAH SOOFI

Psychologist

4160 WOODWARD AVE
DETROIT, MI 48201

Wayne County (313) 656-4052

ALLYN SINGER PROUT WITCHELL MAMFT

Marriage & Family Therapist

4160 WOODWARD AVE
DETROIT, MI 48201

Wayne County (470) 222-6652

KIRSTEN ELIZABETH TOTH MS

Psychologist (Clinical)

4160 WOODWARD AVE, 2ND FLOOR
DETROIT, MI 48201

Wayne County (734) 931-6121

JESSA DMYTRYSZYN MSCP

Psychologist (Clinical)

4160 WOODWARD AVE, 2ND FLOOR
DETROIT, MI 48201

Wayne County (313) 656-4052

KARALINA ANTIONETTE SARACINO

Psychologist

4160 WOODWARD AVE
DETROIT, MI 48201

Wayne County (313) 656-4052

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 Koyonne Mims's NPI number?

The NPI number for Koyonne Mims is 1396095279. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Koyonne Mims located?

Koyonne Mims practices at 4160 Woodward Ave, Detroit, MI 48201. The listed phone number is (313) 757-1922.

What is Koyonne Mims's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Koyonne Mims accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Koyonne Mims as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Koyonne Mims was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.