Active NPI
Tiniyja Burney, MA, CCC-SLP
- Speech-Language Pathologist
- Wyandotte, MI
National Provider Identifier
1245846500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101007548
- Practice address
- 420 Eureka Rd # 202
Wyandotte, MI 48192-5842 - Phone
- (313) 312-0163
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Occupational Therapist
- Monroe, MI
- NPI 1528655826
MI, Speech-Language Pathologist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7101007548 | MI | MD | Speech-Language Pathologist |
| 7151013419 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honeybee Literacy, LLC | Single Specialty | Current | Accepting new patients |
| Mini Mitten Pediatric Therapy, LLC | Speech-Language Pathologist | 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
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7151013419 | MI | |
| Speech-Language Pathologist | 235Z00000X | 7101007548 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
420 Eureka Rd # 202
Wyandotte, MI 48192-5842
Mailing address
420 Eureka Rd # 202
Wyandotte, MI 48192-5842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2023.
{
"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.