Dockside Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DOCKSIDE SERVICES, LLC

Doing business as

Clarvida

Practice address

2614 Lincoln Hwy
Merrillville, IN 46410-5235

Phone

(219) 513-3960

Fax

(219) 838-8020

NPI assigned

Feb 23, 2007

Last updated

Feb 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary MimsNPI 1174989016

Title

Executive Director

Phone

(708) 903-7689

Specialties & licenses 2

Addresses

Other names 1

• Clarvida Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Mims

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1174989016
  Authorized official Same address or phone

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1124154414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 LINCOLN HWY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105235",
            "telephone_number": "219-513-3960",
            "fax_number": "219-838-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 LINCOLN HWY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105235",
            "telephone_number": "219-513-3960",
            "fax_number": "219-838-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCKSIDE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-903-7689"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IN",
            "license": "370346298 53782",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarvida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DME Patientfirst LLC (DME Patient First)
• DME Station Inc
• Gladys Alice Dmello, MS
• Dmkdc Hope Restorers (Helping Hearts)
• Haley Dockery
• Alexis Dodson, RBT
• Dominique Jamison-Willams
• Maya Janay Dominique, M.D.
• Kimberly Donaghue
• Hayley Jordan Dorsett, MA, LMHC, NCC

• Community/Behavioral Health Agency in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.