What is Lisa Mimmo's NPI number?

Lisa Mimmo's National Provider Identifier (NPI) is 1174798862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lisa Mimmo's specialty?

Lisa Mimmo is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Lisa Mimmo located?

Lisa Mimmo's practice location on file with NPPES is 320 King of Prussia Rd, Radnor, PA 19087-4440.

What is Lisa Mimmo's phone number?

The practice phone number listed in the NPPES registry for Lisa Mimmo is (215) 482-8000.

Is Lisa Mimmo's NPI active?

Yes — Lisa Mimmo's NPI (1174798862) is active in the NPPES registry as of the last update on 2008-04-24.

IndividualActive

Lisa Mimmo, PSY.D

NPI 1174798862 · Mental Health Counselor · Radnor, PA

Lisa Mimmo, PSY.D is a Mental Health Counselor provider in Radnor, PA (NPI 1174798862).

Provider details

NPI number: 1174798862
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Credential: PSY.D
Sex: Female
Sole proprietor: Yes
License: PS016292 (PA)

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800XLicense PS016292 (PA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

320 King of Prussia Rd

Radnor, PA 19087-4440

Phone: (215) 482-8000

Street-level locationGet directions

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Mailing address