Individual provider Active NPI

Michala Cooney, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Buffalo, NY
National Provider Identifier
1063134617
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
033309 Issued in NY
Practice address
50 E North St
Buffalo, NY 14203-1002
Phone
(716) 885-8318
NPI assigned
Sep 12, 2022
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 033309 NY Primary

Addresses

Primary practice location

50 E North St
Buffalo, NY 14203-1002

Mailing address

50 E North St
Buffalo, NY 14203-1002
Phone (716) 885-8318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402003313 NY Practitioner - Qualified Speech Language Pathologist 2668810219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back 2 You Speech Language Pathology, PLLCGroup PAC ID 2466844055, 2 clinicians
Buffalo Hearing and Speech Center, IncGroup PAC ID 4183818370, 43 clinicians

Practice addresses (Care Compare)

40 Gardenville Pkwy W
Suite 216
Buffalo, NY 14224-1399
Phone (716) 202-8616

50 E N St
Buffalo, NY 14203-1002
Phone (716) 885-8318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
033309NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Back 2 You Speech Language Pathology, PLLC Speech-Language Pathologist CurrentSince Nov 8, 2025 Accepting new patients
Buffalo Hearing & Speech Center, Inc Speech-Language Pathologist CurrentSince Jan 1, 2024 Accepting new patients

Locations

40 Gardenville Pkwy W
Ste 216
Buffalo, NY 14224
Phone (716) 202-8616

50 E North St
Buffalo, NY 14203
Phone (716) 885-8318

5225 Sheridan Dr
Williamsville, NY 14221
Phone (716) 626-2644

Organizations & group practices 2

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1063134617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031002",
            "telephone_number": "716-885-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031002",
            "telephone_number": "716-885-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "MICHALA",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "033309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.