Provider Demographics
NPI:1538935440
Name:JIMINI HEALTH PSYCHOTHERAPY, P.C.
Entity type:Organization
Organization Name:JIMINI HEALTH PSYCHOTHERAPY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHIARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WAINGARTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-247-3983
Mailing Address - Street 1:110 16TH ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-5275
Mailing Address - Country:US
Mailing Address - Phone:720-679-5226
Mailing Address - Fax:
Practice Address - Street 1:110 16TH ST STE 1400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-5275
Practice Address - Country:US
Practice Address - Phone:720-679-5226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty