Active NPI
Tiffany M. Boards
- Clinical Psychologist
- Southfield, MI
National Provider Identifier
1376127126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- TIFFANY M. BOARDS
- Practice address
- 20411 W 12 Mile Rd Ste 208
Southfield, MI 48076-6405 - Phone
- (734) 561-4102
- NPI assigned
- May 7, 2021
- Organization subpart
- Yes
- Parent organization
- DR. TIFFANY BOARDS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Michelle Boards, PHD
- Title
- Owner / Clinical Psychologist
- Phone
- (734) 561-4102
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Counseling Psychologist | 103TC1900X |
Addresses
Primary practice location
20411 W 12 Mile Rd Ste 208
Southfield, MI 48076-6405
Mailing address
1120 Chicago Blvd
Detroit, MI 48202-1419
Phone (734) 561-4102
Other names 1
- Peace of Mind Child & Family Psychological Services
National Provider Directory
National Provider Directory- Part of
- Tiffany M Boards
Locations
20411 W 12 Mile Rd
Ste 208
Southfield, MI 48076
Phone (734) 561-4102
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Southfield, MI
- NPI 1154619161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721952000000",
"number": "1376127126",
"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": "734-561-4102"
},
{
"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": {
"organization_name": "TIFFANY M. BOARDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DR. TIFFANY BOARDS",
"enumeration_date": "2021-05-07",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A",
"authorized_official_last_name": "BOARDS",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER / CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "734-561-4102",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peace of Mind Child & Family Psychological Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Peace of Mind Child & Family Psychological Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.