BRIAN ALAN MIMS OCCUPATIONAL THERAPY NPI 1154610400

NPI Information

  • NPI: 1154610400
  • Provider Name: BRIAN ALAN MIMS, OCCUPATIONAL THERAPY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6153 FAIRMOUNT AVE
    SUITE 260
    SAN DIEGO, CA
    ZIP 92120
  • Phone: (619) 481-3790

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NPI Details

Brian Alan Mims, OCCUPATIONAL THERAPY is a mental health counselor in San Diego, CA. Brian Alan Mims, OCCUPATIONAL THERAPY NPI is 1154610400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6153 FAIRMOUNT AVE
SUITE 260
SAN DIEGO, CA
ZIP 92120-443
Phone: (619) 481-3790

The enumeration date for this NPI number is 4/6/2011 and was last updated on 4/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthOT11609CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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