Mimir Consulting, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MIMIR CONSULTING, INC.

Practice address

1100 N Glebe Rd Ste 1010
Arlington, VA 22201-5786

Phone

(202) 257-9333

Fax

(757) 321-6269

NPI assigned

Dec 2, 2008

Organization subpart

No

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

Authorized official

Name

James P Polk, PSYD LCP

Title

President

Phone

(833) 223-1991

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.

• Felipe C Villasis, MD

  • Specialist
  • Chesapeake, VA
  • NPI 1205853645
  NPD (past)

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1447495619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65053",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234675053",
            "telephone_number": "757-714-1838",
            "fax_number": "757-321-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N GLEBE RD STE 1010",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015786",
            "telephone_number": "202-257-9333",
            "fax_number": "757-321-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMIR CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "833-223-1991",
        "authorized_official_credential": "PSYD LCP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Miller
• Christian Richard Millett, M.D.
• Elizabeth Adella Mills, LPC
• Milpitas Clinical Services LLC
• Derrick Milton
• Melisa Tanisha Mims
• Ellie Ho-Young Min, MD
• Win Min
• Mind Body Health LLC
• Mindful Moments

• Clinical Psychologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.