NPIMap

Organization Active NPI

Stephen Burden Dba Mary Lee Community Health & Training Center

  • General Practice Physician
  • Redford, MI
National Provider Identifier
1083981724
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
STEPHEN BURDEN DBA MARY LEE COMMUNITY HEALTH & TRAINING CENTER
Practice address
25712 Grand River Ave
Redford, MI 48240-1431
Phone
(313) 286-3031
Fax
(313) 286-3135
NPI assigned
Nov 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Mrs. Tonya Maretta Moss, DNP, NP-CNPI 1700189636
Title
Clinical Director
Phone
(313) 286-3031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

25712 Grand River Ave
Redford, MI 48240-1431

Mailing address

24633 Pembrooke Dr
Southfield, MI 48033-3159
Phone (248) 719-4335

Other names 2

  • Mary Lee Community Health Doing business as
  • Mary Lee community Health & Training Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tonyamoss1@direct.practicefusion.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

22720 Woodward Ave
Ste 204
Ferndale, MI 48220

25712 Grand River Ave
Redford, MI 48240

25822 W 6 Mile Rd
Redford, MI 48240
Phone (313) 286-3031

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1083981724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24633 PEMBROOKE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333159",
            "telephone_number": "248-719-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25712 GRAND RIVER AVE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401431",
            "telephone_number": "313-286-3031",
            "fax_number": "313-286-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN BURDEN DBA MARY LEE COMMUNITY HEALTH & TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "MARETTA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "313-286-3031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tonyamoss1@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Practice EMR Practice Fusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "25712 Grand River Ave",
            "city": "Redford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482401431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mary Lee Community Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mary Lee community Health & Training Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.