Angeliki Anastasia Mitsianis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.7854 Issued in SC

Practice address

201 E Broad St Ste C
Spartanburg, SC 29306-3233

Phone

(864) 202-2690

NPI assigned

Mar 27, 2012

Last updated

Jan 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Institutes of Applied Human Dynamics

  • Early Intervention Provider Agency
  • Bronx, NY
  • NPI 1104061126
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1205102050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NORTH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293064638",
            "telephone_number": "914-886-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E BROAD ST STE C",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063233",
            "telephone_number": "864-202-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSIANIS",
        "first_name": "ANGELIKI",
        "middle_name": "ANASTASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "SLP.7854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yevgeny Eugene Mironer, MD
• Irina Surzhukov Mishler, APRN, NP-C
• Ernest N Mistr, MD
• Kyonda Mitchell-Porter
• Alexandra Mitchell, MD
• Starrcree Mixon, MSW
• Shooka Moallemi, PA-C
• Mobile MD LLC
• Joseph E Mobley, M.D.
• Modern Wellness Family Counseling, LLC

• Speech-Language Pathologist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.