Tiffany Lynn Born, PH.D
NPI 1023498649ActiveIndividual· Psychologist· De Pere, WI
Psychologist (PH.D) in De Pere, Wisconsin, licensed in WI, with an NPI issued in June 2015. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1023498649 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | No |
| NPI issued | Jun 9, 2015 |
| Last updated in NPPES | Feb 10, 2021 |
| Certified by provider | Feb 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 3514-57 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|
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