Tifini A. Roberts, Psy.D., Llc

LBN: Tifini A. Roberts, Psy.D., Llc
Tifini A. Roberts, Psy.D., Llc is an health care organization with primary practice located at 2146 W Chesterfield Blvd Ste. E202, Springfield MO 65807-8650. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Tifini A. Roberts, Psy.D., Llc can be contacted via phone (417) 886-8540, or through Roberts, Tifini Autumn via phone (417) 886-8540.

Contact Information

Primary practice address
2146 W Chesterfield Blvd Ste. E202 Springfield MO 65807-8650
Phone: (417) 886-8540
Fax: (417) 886-8560
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Tifini Autumn PSY.D.
Phone: (417) 886-8540

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2007015271 Missouri

Profile Details

NPI number 1992976955
LBN Legal business name Tifini A. Roberts, Psy.D., Llc
DBA Doing business as
Authorized official Roberts, Tifini Autumn PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2008
Last updated Feb 20th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992976955 NPPES
Missouri MEDICAID 497543900

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