Individual provider Active NPI

Rocio De Belen Mimbela, MS, CCC-SLP

  • Behavior Analyst
  • Middletown, CT
National Provider Identifier
1457506735
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
233 Carriage Crossing LN
Middletown, CT 06457-5863
Phone
(973) 800-6868
NPI assigned
Nov 30, 2008
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1202 CT
Behavior Analyst 103K00000X Primary
Speech-Language Pathologist 235Z00000X 106378 TX
Speech-Language Pathologist 235Z00000X 006618 CT

Addresses

Primary practice location

233 Carriage Crossing LN
Middletown, CT 06457-5863

Mailing address

233 Carriage Crossing LN
Middletown, CT 06457-5863
Phone (973) 800-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1202CTMDBehavioral Analyst
106378TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amenity Health Services PLLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1457506735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 CARRIAGE CROSSING LN",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575863",
            "telephone_number": "973-800-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 CARRIAGE CROSSING LN",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575863",
            "telephone_number": "973-800-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMBELA",
        "first_name": "ROCIO",
        "middle_name": "DE BELEN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-30",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1202",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106378",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "006618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.