Active NPIIndividual provider

Theodore M Roth, PHD

Psychologist in Dobbs Ferry, New York

NPI Number1427177211
Practice location
369 Ashford Avenue, Dobbs Ferry, NY 10522-2626
Fax
914-631-4928
Last updated
July 8, 2007

Theodore Martin Roth is a Psychologist based in Dobbs Ferry, NY. Theodore Martin Roth practices in Dobbs Ferry, NY and has the professional credentials of PHD. The NPI Number for Theodore Martin Roth is 1427177211 and holds a License No. 0074101 (NY). The current practice location address for Theodore Martin Roth is 369 Ashford Avenue, Dobbs Ferry, NY 10522-2626 and can be reached out via phone at 914-674-0573 and via fax at 914-631-4928.

Provider Profile Details

NPI Number
1427177211
Provider Name
Theodore Martin Roth
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
369 Ashford Avenue, Dobbs Ferry, NY 10522-2626
Phone Number
914-674-0573
Fax Number
914-631-4928
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
369 Ashford Avenue
Dobbs Ferry, NY 10522-2626
Zip
10522-2626
Phone Number
914-674-0573
Fax Number
914-631-4928
Dobbs Ferry, NY 10522Get directions →

Provider Business Mailing Address Details

Address
369 Ashford Avenue
Dobbs Ferry, NY 10522-2626
City
Dobbs Ferry
State
NY
Zip
10522-2626
Phone Number
914-674-0573
Fax Number
914-631-4928

License Information

License Number
0074101
License State
NY
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Theodore M Roth, PHD?

The NPI number of Theodore M Roth, PHD is 1427177211. It was assigned on March 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Theodore M Roth, PHD?

Theodore M Roth, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NY under license number 0074101.

Where does Theodore M Roth, PHD practice?

The practice location is 369 Ashford Avenue, Dobbs Ferry, NY 10522-2626. The office can be reached at 914-674-0573 (phone) or 914-631-4928 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427177211 directly on the NPPES registry website.

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