NPPES file of Aug 9, 2026

Angel Mims

Clinical Child & Adolescent Psychologist · Ann Arbor, MI

Angel Mims is a clinical child & adolescent psychologist with a practice address in Ann Arbor, Michigan, and NPI 1073236121, issued on Sep 23, 2022. Check the license (Michigan 6352000753, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1073236121
Name
Angel Mims
Primary taxonomy
Clinical Child & Adolescent Psychologist 103TC2200X
License number
6352000753 MI
Self-reported in NPPES; status is on the state search
Practice location
3005 Boardwalk St Ste 201, Ann Arbor, MI 48108
Phone
(734) 222-9277
Enumerated
Sep 23, 2022
Record last updated
Sep 23, 2022
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 3005 Boardwalk St Ste 201

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nicole Gegas, PH.DClinical Psychologist1558778878
  2. Jessi Gholami, LCSW-CClinical Social Worker1497488050
  3. Nicole Isbell, PH.D., LPClinical Psychologist1588211874
  4. Kallyn Kubmeyer, TLLPPsychologist1760224281
  5. Allura MalcolmClinical Psychologist1063061679
  6. Christopher OwenClinical Child & Adolescent Psychologist1235852468

Verify Angel Mims in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 6352000753
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Angel Mims among 179 clinical child & adolescent psychologist records in Michigan

Angel Mims is one of 179 clinical child & adolescent psychologist records with a practice address in Michigan. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2022, is newer than 80% of them.

  • NPI issued2022 · 80% of these records are older, 16% newer
  • In a Medicare fileNo · 8% of these records are
  • In the CMS Doctors and Clinicians fileNo · 10% of these records are
  • Record last updated2022 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC2200X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Child & Adolescent Psychologist providers in Michigan

There are 179 clinical child & adolescent psychologist records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 clinical child & adolescent psychologist records with the nearest ZIP codes

  1. Shannon Mathison, MS, LLP,CAADC, IMH-EAnn Arbor, MI 481081659515948
  2. Christopher OwenAnn Arbor, MI 481081235852468
  3. Maria Aretakis, PHDAnn Arbor, MI 481091235321324
  4. Jennifer Butcher, PHDAnn Arbor, MI 481091376730390
  5. Dawn Dore-Stites, PHD LLPAnn Arbor, MI 481091245412840
  6. Emily Fredericks, PHDAnn Arbor, MI 481091033225420
  7. Dana Gadaire, PSYDAnn Arbor, MI 481091447585450
  8. Bethany Gaffka, PHDAnn Arbor, MI 481091831373794

Common questions

What is Angel Mims's NPI number?

Angel Mims's National Provider Identifier (NPI) is 1073236121, issued on Sep 23, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Angel Mims located?

The NPPES record lists a practice address at 3005 Boardwalk St Ste 201, Ann Arbor, MI, 48108. Phone: (734) 222-9277. Providers update this record themselves, so call before visiting.

How can I verify Angel Mims's license?

NPPES lists Michigan license number 6352000753, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.