Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roselyn S Tabiti, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1669246401

Roselyn S Tabiti, PMHNP-BC is a Nurse Practitioner in Merrillville, Indiana. Qualified in 2022, 4 years ago. Practices with Cleanslate Medical Group of Indiana LLC, a 61-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Indiana.

Years since qualifying
4
Licensed in
IL, IN
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

8601 Connecticut St
Merrillville, IN 46410-6647
Phone: (219) 525-3495
Fax: (219) 472-0934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71014765A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209027422 (IL)

Record details

NPI number1669246401
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedNovember 13, 2023
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cleanslate Medical Group Of Indiana Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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