Tifini Autumn Roberts, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2007015271 Issued in MO

Practice address

2160 W Chesterfield Blvd
Ste. F202
Springfield, MO 65807-8650

Phone

(417) 886-8540

Fax

(417) 886-8560

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1093904534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 W CHESTERFIELD BLVD",
            "address_2": "STE. F202",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078650",
            "telephone_number": "417-886-8540",
            "fax_number": "417-886-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W CHESTERFIELD BLVD",
            "address_2": "STE. F202",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078650",
            "telephone_number": "417-886-8540",
            "fax_number": "417-886-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "TIFINI",
        "middle_name": "AUTUMN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2007015271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ann-Melugin Roberts, PT, DPT
• Nancy Ellen Roberts, N.P.
• Nathan Roberts, M.D.
• Nikole K Roberts, PHD, LP
• Sharron L Roberts, LPC
• Tracy Lynn Roberts, M.D.
• Zachary C Roberts, ATC, CSCS
• Allison J Robertson, MSW, LCSW
• D. Susie Robertson, APRN-BC
• Shellie Suzanne Robertson, OTRL

• Clinical Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.