Rosetta Center for Counseling and Wellness

Primary specialty

PsychologistTaxonomy code 103T00000X

License

21784 Issued in CA

Legal business name

ROSETTA CENTER FOR COUNSELING AND WELLNESS

Practice address

1521 Corporate Way
Ste 200
Sacramento, CA 95831-3891

Phone

(916) 424-3700

NPI assigned

Jun 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tiffany Rose Mimms, PH.D.NPI 1013162809

Title

President

Phone

(916) 424-3700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Rose Mimms, PH.D.

  • Clinical Psychologist
  • Sacramento, CA
  • NPI 1013162809
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1003255944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 SOUZA CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958314737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CORPORATE WAY",
            "address_2": "STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313891",
            "telephone_number": "916-424-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSETTA CENTER FOR COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "MIMMS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-424-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "21784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma O Rosendale
• Tamara Rosenfield
• Carl John Rosenquist, M.D.
• Seth Allen Rosenthal, M.D.
• Rosenwald C. Robertson Adult Day Health Care
• Roshan Clinic Inc, Psychiatric Services
• Roberta Rosier, CADC II
• Maria Guadulupe Rosiles-Barrera
• Marisol Rosiu, LCSW
• Kannon Rosko

• Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.