Tiffany M Boards, PSY.D LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301018852 Issued in MI

Practice address

20411 W 12 Mile Rd Ste 208
Southfield, MI 48076-6405

Phone

(734) 561-4102

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tiffany M. Boards

  • Clinical Psychologist
  • Southfield, MI
  • NPI 1376127126
  NPD Authorized official

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1154619161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CHICAGO BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021419",
            "telephone_number": "313-282-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20411 W 12 MILE RD STE 208",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766405",
            "telephone_number": "734-561-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARDS",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301018852",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sol Blumenfeld, D.D.S.
• Garret Gordon Blunt
• Blush Senior Services
• Elissa F. Bluth, RD
• Boarders Multispecialty & Pain Clinic
• Dennis Samuel Boatwright Jr.
• Bobbi Edwards MD PC
• Marissa Bober
• Benjamin Bodman
• Colleen Bodnar, CRNA

• Clinical Psychologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.

Verify at the official NPI Registry.