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MIMI MEDINA L.M.S.W.
NPI 1952794307
Counselor - Mental Health in Bronx, NY

Active since March 10, 2015
2929 BAINBRIDGE AVE, APARTMENT 5E, BRONX, NY 10458(718) 365-9310 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mimi Medina L.m.s.w. NPPES

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

MIMI MEDINA L.M.S.W. (NPI 1952794307) is an individual mental health provider in Bronx, New York, licensed in New York (072101) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1952794307
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIMI MEDINACredential: L.M.S.W.
Location Address2929 BAINBRIDGE AVE, APARTMENT 5EBronx, NY 10458-2825
Mailing Address2929 Bainbridge Ave, Apartment 5eBronx, NY 10458-2825 · (718) 365-9310
Phone(718) 365-9310
Sole ProprietorYes
Enumeration DateMarch 10, 2015
✔ NPI 1952794307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 072101
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 072101 (NY)
2929 BAINBRIDGE AVE, Bronx, NY 10458
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Other Providers at the Same Location NPPES

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

GYOLTZNA MARIAM MATHEW CF-SLP
Speech-Language Pathologist
2929 BAINBRIDGE AVE, APT 5G
BRONX, NY 10458
Bronx County (516) 984-6462

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 Mimi Medina's NPI number?

The NPI number for Mimi Medina is 1952794307. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Mimi Medina located?

Mimi Medina practices at 2929 Bainbridge Ave Apartment 5E, Bronx, NY 10458. The listed phone number is (718) 365-9310.

What is Mimi Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mimi Medina was last updated on March 10, 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.