Active NPI
Tina Marie Wheeler, M.S., L.L.P.
- Family Psychologist
- Garden City, MI
National Provider Identifier
1467624593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 6301011727
- Practice address
- 6245 Inkster Rd
Garden City, MI 48135-4001 - Phone
- (734) 458-3395
- Fax
- (734) 458-3394
- NPI assigned
- Mar 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 6301011727 | MI | |
| Family Psychologist | 103TF0000X | 6301011727 | MI | Primary |
Addresses
Primary practice location
6245 Inkster Rd
Garden City, MI 48135-4001
Mailing address
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
34841 Veterans PLZ
Wayne, MI 48184-1733
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301011727 | MI | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dara Behavioral Solutions | Current | Accepting new patients | |
| Pure Psychiatry of Michigan PLLC | Past | Accepting new patients | |
| Moriah, Incorporated | Past | Accepting new patients | |
| Moriah, Incorporated | Past | Accepting new patients |
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.
-
- Counseling Psychologist
- Plymouth, MI
- NPI 1447119342
-
- Multi-Specialty Clinic/Center
- Selfridge Angb, MI
- NPI 1013585405
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ann Arbor, MI
- NPI 1558544130
-
- Physician Assistant
- Wayne, MI
- NPI 1831701671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1467624593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6245 INKSTER RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481354001",
"telephone_number": "734-458-3395",
"fax_number": "734-458-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6245 INKSTER RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481354001",
"telephone_number": "734-458-3395",
"fax_number": "734-458-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.S., L.L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6301011727",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MI",
"license": "6301011727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.