Mitzi Junia Papillon, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA9461 Issued in FL

Practice address

10211 Pines Blvd # 212
Pembroke Pines, FL 33026-6003

Phone

(786) 203-5848

NPI assigned

Mar 16, 2009

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Science

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 Butterfly Affect Therapy Services, Inc

  • Speech-Language Pathologist
  • Pembroke Pines, FL
  • NPI 1962810879
  NPD (past) Authorized official

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1972744316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 PINES BLVD # 212",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266003",
            "telephone_number": "786-203-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 PINES BLVD # 212",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266003",
            "telephone_number": "786-203-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPILLON",
        "first_name": "MITZI",
        "middle_name": "JUNIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9461",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SA9461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarra Lynn Pannullo, MA, NCC
• Nicole Marie Paoli
• Tina Melissa Paolucci
• Lisa Grace Papa Woolhiser, D.C.
• Vassiliki Papastavros
• Paradise Villa Retirement Homes Inc (Paradise Villa Retirement Home IV at Pembroke Pines)
• Paradise Villa Retirement Homes Inc (Paradise Villa Retirement at Sheridan #V)
• Paragon OB GYN PA (Eric Rothschild, MD)
• Paraiso Dos Gardenias II LLC
• Paola Paramo Ordonez

• Speech-Language Pathologist in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Jul 28, 2014; 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.