Active NPI
Tisha Marie Tanyi, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402567
- Practice address
- 1263 Delaware Ave
Buffalo, NY 14209-2402 - Phone
- (716) 886-8200
- NPI assigned
- Jan 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402567 | NY | Primary |
Addresses
Primary practice location
1263 Delaware Ave
Buffalo, NY 14209-2402
Mailing address
195 Willowgrove S
Tonawanda, NY 14150-4517
Phone (716) 863-3235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
85 Bryant Woods S
Amherst, NY 14228-3604
Phone (716) 689-3333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 402567 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brylin Hospitals, Inc. | Single Specialty | Current | Accepting new patients |
| Suburban Psychiatric Associates, LLP | Single Specialty | Current | Accepting new patients |
| Brylin Hospitals, Inc. | Single Specialty | Current | Accepting new patients |
| Kaleida Health | Single Specialty | Current | Accepting new patients |
Locations
100 High St
#13282
Buffalo, NY 14203
85 Bryant Woods S
Buffalo, NY 14228
Phone (716) 689-3333
1263 Delaware Ave
Buffalo, NY 14209
Phone (716) 219-3636
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
Interoperability endpoints
- ttanyi@spa.medentdirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Amherst, NY
- NPI 1851331367
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546646400000",
"number": "1205309952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 WILLOWGROVE S",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141504517",
"telephone_number": "716-863-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092402",
"telephone_number": "716-886-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANYI",
"first_name": "TISHA",
"middle_name": "MARIE",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-05",
"last_updated": "2019-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402567",
"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 Jan 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.