Jan Tyson Roberts, PH.D.
NPI 1265724561 · Clinical Psychologist · St Louis Park, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jan Tyson Roberts, PH.D. is a Clinical Psychologist provider in St Louis Park, MN (NPI 1265724561).
Provider details
- NPI number
- 1265724561
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5330 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-05
- Last updated
- 2018-01-10
Frequently asked questions
- What is Jan Tyson Roberts's NPI number?
- Jan Tyson Roberts's National Provider Identifier (NPI) is 1265724561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jan Tyson Roberts's specialty?
- Jan Tyson Roberts is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jan Tyson Roberts located?
- Jan Tyson Roberts's practice location on file with NPPES is 5353 Gamble Dr Ste 395, St Louis Park, MN 55416-1510.
- What is Jan Tyson Roberts's phone number?
- The practice phone number listed in the NPPES registry for Jan Tyson Roberts is (612) 367-7103.
- Does Jan Tyson Roberts accept Medicare?
- Jan Tyson Roberts is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jan Tyson Roberts's NPI active?
- Yes — Jan Tyson Roberts's NPI (1265724561) is active in the NPPES registry as of the last update on 2018-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.