Active NPIIndividual providerSole proprietor

Dr. Samuel C Roth, PHD

Psychologist, Clinical in Newton Centre, Massachusetts

NPI Number1548431729
Practice location
190 Sumner St, Newton Centre, MA 02459-1954
Fax
—
Last updated
March 17, 2008

Samuel Caplan Roth is a Psychologist, Clinical based in Newton Centre, MA. Samuel Caplan Roth practices in Newton Centre, MA and has the professional credentials of PHD. The NPI Number for Samuel Caplan Roth is 1548431729 and holds a License No. 7117 (MA). The current practice location address for Samuel Caplan Roth is 190 Sumner St, Newton Centre, MA 02459-1954 and can be reached out via phone at 617-630-1161.

Provider Profile Details

NPI Number
1548431729
Provider Name
Samuel Caplan Roth
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
190 Sumner St, Newton Centre, MA 02459-1954
Phone Number
617-630-1161
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
-- None None, PHD (Other Name)
Provider Enumeration Date
March 17, 2008
Last Update Date
March 17, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
190 Sumner St
Newton Centre, MA 02459-1954
Zip
02459-1954
Phone Number
617-630-1161
Newton Centre, MA 02459Get directions →

Provider Business Mailing Address Details

Address
190 Sumner St
Newton Centre, MA 02459-1954
City
Newton Centre
State
MA
Zip
02459-1954
Phone Number
617-630-1161

License Information

Taxonomy (1)
Psychoanalyst · 102L00000X
License Number (2)
7117
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · 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 Dr. Samuel C Roth, PHD?

The NPI number of Dr. Samuel C Roth, PHD is 1548431729. It was assigned on March 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Samuel C Roth, PHD?

Dr. Samuel C Roth, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 7117.

Where does Dr. Samuel C Roth, PHD practice?

The practice location is 190 Sumner St, Newton Centre, MA 02459-1954. The office can be reached at 617-630-1161 (phone).

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 1548431729 directly on the NPPES registry website.

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