TIFFANY MICHELLE MACK M.S., CCC-SLP
NPI 1134799307
Speech-Language Pathologist in Virginia Beach, VA

Q: What is Tiffany Mack's NPI number?

The NPI number for Tiffany Mack is 1134799307. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Q: What is Tiffany Mack's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Mack was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2021Accepts Medicare Assignment

4560 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462(757) 474-1249 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tiffany Michelle Mack M.s., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY MICHELLE MACK M.S., CCC-SLP (NPI 1134799307) is an individual speech-language pathologist provider in Virginia Beach, Virginia, licensed in Virginia (2202003051) and active in the NPI registry since June 2021. She is a graduate of Other (1996).

NPPES Registry Identity

NPI1134799307

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameTIFFANY MICHELLE MACKCredential: M.S., CCC-SLP

Location Address4560 PRINCESS ANNE RDVirginia Beach, VA 23462-7905

Mailing Address812 Parkview CtVirginia Beach, VA 23456-6301 · (757) 575-5713

Phone(757) 474-1249

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateJune 29, 2021

NPPES CertifiedJune 29, 2021

✔ NPI 1134799307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in VA · 2202003051

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

4560 PRINCESS ANNE RD, Virginia Beach, VA 23462

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Michelle Mack M.s., Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668993734

PECOS Enrollment IDI20250305001727

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OUR LADY OF PERPETUAL HELP HEALTH CENTER, INC

Nursing Facility/Intermediate Care Facility