Individual provider Active NPI

Tina Michelle Boni, PSY.D.

  • Clinical Psychologist
  • Franklin, TN
National Provider Identifier
1881973170
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4070 Issued in TN
Practice address
377 Riverside Dr Ste 302
Franklin, TN 37064-5393
Phone
(615) 471-6154
Fax
(615) 657-7343
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 23633 PA
Behavior Analyst 103K00000X BH001420 PA
Clinical Psychologist 103TC0700X 4070 TN Primary
Professional Counselor 101YP2500X LPC0000004430 TN

Addresses

Primary practice location

377 Riverside Dr Ste 302
Franklin, TN 37064-5393

Mailing address

377 Riverside Dr Ste 302
Franklin, TN 37064-5393
Phone (615) 722-0565

Other identifiers 1

IdentifierTypeStateIssuer
1007288440027MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CO, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20251022004125 TN Practitioner - Clinical Psychologist 3173011079 Reassigns benefits to 2 organizations
I20260528003329 CO Practitioner - Clinical Psychologist 3173011079 Reassigns benefits to 2 organizations
I20260528004021 PA Practitioner - Clinical Psychologist 3173011079 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7877 Willow Chase Blvd
Houston, TX 77070-5934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0000004430TNMDProfessional Counselor
BH001420PAMDBehavioral Analyst
23633PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Medical Associates, PLLC CurrentSince Sep 10, 2025 Accepting new patients
Psychiatry of Texas PLLC Behavior Analyst CurrentSince Sep 10, 2025 Accepting new patients
Joan M Frye, PHD Past Accepting new patients
Philip Bradley Anderson Past Accepting new patients

Locations

212 Willie Ray Dr
Cabot, AR 72023
Phone (501) 333-9110

6169 S Balsam Way
Ste 320
Littleton, CO 80123
Phone (303) 973-3668

915 Ella T Grasso Blvd
New Haven, CT 06519
Phone (203) 349-9400

1431 McHenry Rd
Ste 105
Buffalo Grove, IL 60089
Phone (708) 286-1264

14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

180 Debuys Rd
Biloxi, MS 39531
Phone (228) 338-0220

322 Lamar Ave
#220
Charlotte, NC 28204

322 Lamar Ave
Ste 220
Charlotte, NC 28204
Phone (704) 914-5910

3541 Randolph Rd
Ste 102W
Charlotte, NC 28211
Phone (704) 582-9799

1 Bridge St
Ste 206
Plymouth, NH 03264

639 Isbell Rd
Ste 380
Reno, NV 89509
Phone (775) 348-5800

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

3516 E 31st St
Ste B
Tulsa, OK 74135
Phone (785) 221-1999

7777 Steubenville Pike
Oakdale, PA 15071
Phone (412) 454-5500

3343 Perimeter Hill Dr
Ste 214
Nashville, TN 37211
Phone (951) 440-8989

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

2091 E Murray Holladay Rd
Ste 21
Holladay, UT 84117

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1881973170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 RIVERSIDE DR STE 302",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645393",
            "telephone_number": "615-722-0565",
            "fax_number": "615-583-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 RIVERSIDE DR STE 302",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645393",
            "telephone_number": "615-471-6154",
            "fax_number": "615-657-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONI",
        "first_name": "TINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "23633",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001420",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "4070",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000004430",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288440027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.