Eileen Sullivan Mijares, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7115 Issued in FL

Practice address

3042 Carlow Cir
Tallahassee, FL 32309-3303

Phone

(305) 968-1312

Fax

(850) 807-5114

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Mijares Speech Language Pathology, LLC

  • Speech-Language Pathologist
  • Tallahassee, FL
  • NPI 1992466098
  NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1962548487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 CARLOW CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093303",
            "telephone_number": "305-968-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 CARLOW CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093303",
            "telephone_number": "305-968-1312",
            "fax_number": "850-807-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJARES",
        "first_name": "EILEEN",
        "middle_name": "SULLIVAN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-01-12",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889101000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DEPT OF HEALTH LIC",
            "identifier": "SA7115",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Barfield Midler, MSN-MIDWIFERY
• Yvette Mignon, MD
• Nicole Larissa Mignott-Dawson
• Dorothy Elizabeth Miguel, LMT
• Mijares Speech Language Pathology, LLC
• Mike Dease, LMHC, Cap, LLC
• Cha'Sani Mike
• Marian Mikhail
• Miles Above RPH
• David Durant Miles Jr., M.D.

• Speech-Language Pathologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.