Individual provider Active NPI

Tanya Wozniak, M.D.

  • Psychiatry Physician
  • Detroit, MI
National Provider Identifier
1023150612
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
42497 Issued in KY
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-1841
NPI assigned
Feb 12, 2007
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 42497 KY Primary
Psychiatry Physician 2084P0800X 77510 TN
Psychiatry Physician 2084P0800X MD61369621 WA
Psychiatry Physician 2084P0800X 37012 MS
Addiction Medicine (Preventive Medicine) Physician 2083A0300X EMC0008948 MI

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

Other practice location 2

6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-2727

Other practice location 3

220 Highway 12 W
Kosciusko, MS 39090-3208
Phone (662) 290-3315

Other practice location 4

100 Hospital St
Booneville, MS 38829-3354
Phone (662) 538-2110

Other practice location 5

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261

Other practice location 6

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

Other practice location 7

4201 Springhurst Blvd Ste 203
Louisville, KY 40241
Phone (502) 425-6690

Other practice location 8

25420 104th Ave SE
Kent, WA 98030-6435
Phone (832) 604-3771

Other practice location 9

2100 N 7th St
West Memphis, AR 72301-2017
Phone (870) 394-7800

Other practice location 10

1100 Highway 16 E
Carthage, MS 39051-4222
Phone (601) 267-1100

Other practice location 11

631 Rb Wilson Dr
Huntingdon, TN 38344-1727
Phone (731) 986-7021

Other practice location 12

1500 W Poplar Ave
Collierville, TN 38017-0601
Phone (901) 227-8140

Other practice location 13

140 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone (662) 628-6611

Other practice location 14

200 State Highway 30 W
New Albany, MS 38652-3112
Phone (662) 538-7631

Other practice location 15

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 513-1609

Other practice location 16

1995 Highway 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

Other practice location 17

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000

Other practice location 18

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-4910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MN, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140311000294 PA Practitioner - Psychiatry 6204991664 Reassigns benefits to 1 organization
I20160706002527 MN Practitioner - Psychiatry 6204991664 Reassigns benefits to 2 organizations
I20260601001396 MI Practitioner - Psychiatry 6204991664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Mental Health Center, Inc.Group PAC ID 7315856119, 22 clinicians
Northern Pines Mental Health Center IncGroup PAC ID 8628979697, 12 clinicians

Practice addresses (Care Compare)

1212 E College Dr
Marshall, MN 56258-2010
Phone (507) 532-3236

520 NW 5TH St
Brainerd, MN 56401-2902
Phone (320) 632-6647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
EMC0008948MIMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Pines Mental Health Center, Inc. Multi-Specialty CurrentSince Jun 6, 2024 Accepting new patients
Alder Health Services, Inc. Multi-Specialty CurrentSince Jul 7, 2019 Accepting new patients
Community Services Group, Inc. Multi-Specialty CurrentSince Feb 22, 2016 Accepting new patients
Western Mental Health Center, Inc. Multi-Specialty CurrentSince Jul 20, 2016 Accepting new patients
Northern Pines Mental Health Center, Inc. Past Accepting new patients

Locations

520 NW 5th St
Brainerd, MN 56401
Phone (218) 821-7818

1906 5th Ave SE
Little Falls, MN 56345
Phone (320) 639-2025

1212 E College Dr
Marshall, MN 56258
Phone (507) 532-3236

11 2nd St SW
Ste 1
Wadena, MN 56482
Phone (218) 631-1714

100 N Cameron St
Ste 301E
Harrisburg, PA 17101
Phone (717) 233-7190

320 Highland Dr
Mountville, PA 17554
Phone (717) 285-7121

1000 Commerce Park Dr
Ste 110
Williamsport, PA 17701
Phone (570) 323-6944

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/wmhcinc/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1023150612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806",
            "fax_number": "313-876-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-1841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Bishop St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382615403",
            "country_code": "US",
            "telephone_number": "731-885-2410",
            "fax_number": "731-884-8212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6225 Humphreys Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202373",
            "country_code": "US",
            "telephone_number": "901-227-2727",
            "fax_number": "901-227-2477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "662-290-3315",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "MS",
            "postal_code": "388293354",
            "country_code": "US",
            "telephone_number": "662-538-2110",
            "fax_number": "662-538-2593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "662-746-2261",
            "fax_number": "662-746-4839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 Southcrest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714739",
            "country_code": "US",
            "telephone_number": "662-772-4000",
            "fax_number": "662-772-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 Springhurst Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40241",
            "country_code": "US",
            "telephone_number": "502-425-6690",
            "fax_number": "502-890-2092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25420 104th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980306435",
            "country_code": "US",
            "telephone_number": "832-604-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 N 7th St",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "723012017",
            "country_code": "US",
            "telephone_number": "870-394-7800",
            "fax_number": "901-227-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Highway 16 E",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514222",
            "country_code": "US",
            "telephone_number": "601-267-1100",
            "fax_number": "601-267-1469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "631 Rb Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "TN",
            "postal_code": "383441727",
            "country_code": "US",
            "telephone_number": "731-986-7021",
            "fax_number": "731-986-7288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380170601",
            "country_code": "US",
            "telephone_number": "901-227-8140",
            "fax_number": "901-227-2477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Burke Calhoun City Rd",
            "address_purpose": "LOCATION",
            "city": "Calhoun City",
            "state": "MS",
            "postal_code": "389169690",
            "country_code": "US",
            "telephone_number": "662-628-6611",
            "fax_number": "662-628-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 State Highway 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523112",
            "country_code": "US",
            "telephone_number": "662-538-7631",
            "fax_number": "662-538-2593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Belk Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555242",
            "country_code": "US",
            "telephone_number": "662-513-1609",
            "fax_number": "662-232-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1995 Highway 51 S",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380193635",
            "country_code": "US",
            "telephone_number": "901-476-2621",
            "fax_number": "901-475-5321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4800 E Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724058413",
            "country_code": "US",
            "telephone_number": "870-936-1000",
            "fax_number": "870-936-0224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6019 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202113",
            "country_code": "US",
            "telephone_number": "901-226-4910",
            "fax_number": "901-226-4774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOZNIAK",
        "first_name": "TANYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "42497",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "77510",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61369621",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "37012",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MI",
            "license": "EMC0008948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.