Active NPI
Mariah Eykelhoff
- Speech-Language Pathologist
- New Milford, CT
National Provider Identifier
1487368064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 30 Park LN E
New Milford, CT 06776-2510 - Phone
- (860) 355-0971
- NPI assigned
- Jan 9, 2023
- Last updated
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
30 Park LN E
New Milford, CT 06776-2510
Mailing address
143 Pine Hill Rd Unit 7E
Thomaston, CT 06787-1946
Phone (860) 387-1058
Other practice location 1
19 Poplar St
New Milford, CT 06776-2901
Phone (860) 354-9365
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1487368064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 PINE HILL RD UNIT 7E",
"city": "THOMASTON",
"state": "CT",
"postal_code": "067871946",
"telephone_number": "860-387-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PARK LN E",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067762510",
"telephone_number": "860-355-0971"
}
],
"practiceLocations": [
{
"address_1": "19 Poplar St",
"address_purpose": "LOCATION",
"city": "New Milford",
"state": "CT",
"postal_code": "067762901",
"country_code": "US",
"telephone_number": "860-354-9365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EYKELHOFF",
"first_name": "MARIAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.