NPIMap

Organization Active NPI

Tiara a Slaughter, PHD, PC

  • Clinical Psychologist
  • Barnstable, MA
National Provider Identifier
1831465087
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22537 Issued in TX
Legal business name
TIARA A SLAUGHTER, PHD, PC
Practice address
275 Millway
Barnstable, MA 02630-1102
Phone
(508) 362-1955
NPI assigned
Mar 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Dr. Tiara Arlina Roberts, PHD
Title
Psychologist President
Phone
(817) 456-6997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 22537 TX Primary

Addresses

Primary practice location

275 Millway
Barnstable, MA 02630-1102

Mailing address

275 Millway
PO Box 282
Barnstable, MA 02630-1102
Phone (508) 362-1955

Other identifiers 2

IdentifierTypeStateIssuer
032590401MedicaidTX
00D05ROtherTXMEDICARE 00D05R

Other names 1

  • Tiara A. Roberts, PhD Doing business as

National Provider Directory

National Provider Directory

Locations

6017 Reef Point Ln
Fort Worth, TX 76135
Phone (817) 444-3603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1831465087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 MILLWAY",
            "address_2": "PO BOX 282",
            "city": "BARNSTABLE",
            "state": "MA",
            "postal_code": "026301102",
            "telephone_number": "508-362-1955",
            "fax_number": "508-296-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MILLWAY",
            "city": "BARNSTABLE",
            "state": "MA",
            "postal_code": "026301102",
            "telephone_number": "508-362-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIARA A SLAUGHTER, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-31",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TIARA",
        "authorized_official_middle_name": "ARLINA",
        "authorized_official_title_or_position": "PSYCHOLOGIST  PRESIDENT",
        "authorized_official_telephone_number": "817-456-6997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032590401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE 00D05R",
            "identifier": "00D05R",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiara A. Roberts, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barnstable, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.