Organization Active NPI

Jimini Health Psychotherapy NJ, LLC

  • Clinical Psychologist
  • Denver, CO
National Provider Identifier
1306654264
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JIMINI HEALTH PSYCHOTHERAPY NJ, LLC
Practice address
110 16TH St Ste 1400
Denver, CO 80202
Phone
(914) 357-4009
NPI assigned
Dec 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Chiara Waingarten
Title
Secretary
Phone
(786) 247-3983

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

110 16TH St Ste 1400
Denver, CO 80202

Mailing address

110 16TH St Ste 1400
Denver, CO 80202-5275

National Provider Directory

National Provider Directory

Locations

110 16th St
Ste 1400
Denver, CO 80202
Phone (561) 319-6696

NPI Registry JSON

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1306654264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 16TH ST STE 1400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 16TH ST STE 1400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80202",
            "telephone_number": "914-357-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMINI HEALTH PSYCHOTHERAPY NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "WAINGARTEN",
        "authorized_official_first_name": "CHIARA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "786-247-3983"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.