Individual provider Active NPI

Tiniyja Burney, MA, CCC-SLP

  • Speech-Language Pathologist
  • Wyandotte, MI
National Provider Identifier
1245846500
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101007548 Issued in MI
Practice address
420 Eureka Rd # 202
Wyandotte, MI 48192-5842
Phone
(313) 312-0163
NPI assigned
Sep 21, 2020
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 7151013419 MI
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 7101007548 MI Primary

Addresses

Primary practice location

420 Eureka Rd # 202
Wyandotte, MI 48192-5842

Mailing address

420 Eureka Rd # 202
Wyandotte, MI 48192-5842

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719001761 MI Practitioner - Qualified Speech Language Pathologist 2163825860 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7101007548MIMDSpeech-Language Pathologist
7151013419MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mini Mitten Pediatric Therapy, LLC Speech-Language Pathologist CurrentSince Jul 1, 2021 Accepting new patients
Honeybee Literacy, LLC Single Specialty Current Accepting new patients

Locations

14930 Laplaisance Rd
Ste 118
Monroe, MI 48161
Phone (734) 240-2892

7447 N Telegraph Rd
#M
Monroe, MI 48162
Phone (734) 888-6464

420 Eureka Rd
Wyandotte, MI 48192
Phone (313) 312-0163

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1245846500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 EUREKA RD # 202",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 EUREKA RD # 202",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925842",
            "telephone_number": "313-312-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNEY",
        "first_name": "TINIYJA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-01-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7151013419",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.