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NPI · 1265724561 · NPPES-sourced

Jan Tyson Roberts PH.D.

ActiveClinical Psychologist
NPI Number
1265724561
Type 1 · Individual
Taxonomy Code
103TC0700X
Contact
(612) 367-7103
License MN · 5330
Last Updated
Enumerated
Primary practice addressMN · 55416-1510
5353 Gamble Dr Ste 395St Louis Park, MN 55416-1510
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About this NPIWhat this record shows.

NPI 1265724561 is registered to Jan Tyson Roberts PH.D., a Clinical Psychologist practising at 5353 Gamble Dr Ste 395 in St Louis Park, Minnesota. Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jan Tyson Roberts PH.D. has been enumerated in the National Provider Identifier (NPI) registry since 2011.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jan Tyson Roberts PH.D. accepts. To confirm in-network status with your specific health plan, contact Jan Tyson Roberts PH.D. directly at (612) 367-7103.

Frequently asked

Yes. NPI 1265724561 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (612) 367-7103.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jan Tyson Roberts PH.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy103TC0700X
Last updated
Enumerated
StatusActive
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