Active NPI
Tangela S Roberts, PHD
- Counseling Psychologist
- Center Point, AL
National Provider Identifier
1477390201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2374
- Practice address
- 1347 Glenwood St NW
Center Point, AL 35215-5913 - Phone
- (205) 266-3517
- NPI assigned
- Jul 10, 2024
- Last updated
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2374 | AL | Primary |
Addresses
Primary practice location
1347 Glenwood St NW
Center Point, AL 35215-5913
Mailing address
110 Paradise LN Apt 2
Tonawanda, NY 14150-2850
Phone (205) 266-3517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1477390201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PARADISE LN APT 2",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141502850",
"telephone_number": "205-266-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1347 GLENWOOD ST NW",
"city": "CENTER POINT",
"state": "AL",
"postal_code": "352155913",
"telephone_number": "205-266-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "TANGELA",
"middle_name": "S",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AL",
"license": "2374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Point, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.