Mijares Speech Language Pathology, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MIJARES SPEECH LANGUAGE PATHOLOGY, LLC

Practice address

3042 Carlow Cir
Tallahassee, FL 32309-3303

Phone

(850) 296-7106

Fax

(850) 807-5114

NPI assigned

Jan 1, 2022

Organization subpart

No

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

Authorized official

Name

Eileen S Mijares, MS, CCC-SLPNPI 1962548487

Title

Owner

Phone

(850) 296-7106

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eileen Sullivan Mijares, MS, CCC-SLP

  • Speech-Language Pathologist
  • Tallahassee, FL
  • NPI 1962548487
  NPD Authorized official

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

{
    "created_epoch": "1640995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640995200000",
    "number": "1992466098",
    "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": "850-296-7107",
            "fax_number": "850-807-5114"
        },
        {
            "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": "850-296-7106",
            "fax_number": "850-807-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIJARES SPEECH LANGUAGE PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A",
        "authorized_official_last_name": "MIJARES",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-296-7106",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962548487",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodina Micourt
• Hillary Barfield Midler, MSN-MIDWIFERY
• Yvette Mignon, MD
• Nicole Larissa Mignott-Dawson
• Dorothy Elizabeth Miguel, LMT
• Eileen Sullivan Mijares, MS, CCC-SLP
• Mike Dease, LMHC, Cap, LLC
• Cha'Sani Mike
• Marian Mikhail
• Miles Above RPH

• 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 1, 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.