Active NPI
Mary Mahalares Garcia, SLP
- Speech-Language Pathologist
- Clearwater, FL
National Provider Identifier
1740758242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA4052
- Practice address
- 4707 140TH Ave N Ste 313
Clearwater, FL 33762-3841 - Phone
- (727) 223-8978
- Fax
- (727) 303-3952
- NPI assigned
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | SA4052 | FL | Primary |
Addresses
Primary practice location
4707 140TH Ave N Ste 313
Clearwater, FL 33762-3841
Mailing address
4707 140TH Ave N Ste 313
Clearwater, FL 33762-3841
Phone (727) 223-8978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA4052 | Other | FL | STATE LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA4052 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1740758242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4707 140TH AVE N STE 313",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337623841",
"telephone_number": "727-223-8978",
"fax_number": "727-303-3952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4707 140TH AVE N STE 313",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337623841",
"telephone_number": "727-223-8978",
"fax_number": "727-303-3952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MARY",
"middle_name": "MAHALARES",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA4052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SA4052",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.