Dr Tiffany Rose Mimms, PHD - Psychologist in Sacramento, CA

Dr Tiffany Rose Mimms, PHD is a Psychologist - Clinical based in Sacramento, California. Dr Tiffany Rose Mimms is licensed to practice in California (license number 21784) and her current practice location is 1521 Corporate Way, Ste 200, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at (916) 216-8433.

NPI number for Dr Tiffany Rose Mimms is 1013162809 and her current mailing address is 7324 Souza Cir, Sacramento, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013162809.

Contact Information

Dr Tiffany Rose Mimms, PHD
1521 Corporate Way, Ste 200,
Sacramento, CA 95831-3891
(916) 216-8433
Not Available



Healthcare Provider's Profile

Full NameDr Tiffany Rose Mimms
GenderFemale
SpecialityPsychologist - Clinical
Location1521 Corporate Way, Sacramento, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013162809
  • Provider Enumeration Date: 11/20/2008
  • Last Update Date: 11/20/2008

Medical Identifiers

Medical identifiers for Dr Tiffany Rose Mimms such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013162809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 21784 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tiffany Rose Mimms is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Tiffany Rose Mimms, PHD
7324 Souza Cir,
Sacramento, CA 95831-4737

Ph: (916) 216-8433
Dr Tiffany Rose Mimms, PHD
1521 Corporate Way, Ste 200,
Sacramento, CA 95831-3891

Ph: (916) 216-8433

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