Active NPIIndividual providerSole proprietor

Dr. Randi S Roth, PHD

Psychologist in Westport, Connecticut

NPI Number1629135785
Practice location
162 Kings Hwy N, Westport, CT 06880-2425
Fax
—
Last updated
July 8, 2007

Randi S. Roth is a Psychologist based in Westport, CT. Randi S. Roth practices in Westport, CT and has the professional credentials of PHD. The NPI Number for Randi S. Roth is 1629135785 and holds a License No. 002676 (CT). The current practice location address for Randi S. Roth is 162 Kings Hwy N, Westport, CT 06880-2425 and can be reached out via phone at 203-984-2222.

Provider Profile Details

NPI Number
1629135785
Provider Name
Randi S. Roth
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
162 Kings Hwy N, Westport, CT 06880-2425
Phone Number
203-984-2222
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 1, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
162 Kings Hwy N
Westport, CT 06880-2425
Zip
06880-2425
Phone Number
203-984-2222
Westport, CT 06880Get directions →

Provider Business Mailing Address Details

Address
6 Valley Forge Ln
Weston, CT 06883-2013
City
Weston
State
CT
Zip
06883-2013
Phone Number
203-984-2222
Fax Number
203-221-7731

License Information

License Number (1)
002676
License State (1)
CT
Taxonomy (1)
Psychologist · 103T00000X · Primary
License Number (2)
011111
License State (2)
NY
Taxonomy (2)
Psychologist · 103T00000X

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. Randi S Roth, PHD?

The NPI number of Dr. Randi S Roth, PHD is 1629135785. It was assigned on January 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Randi S Roth, PHD?

Dr. Randi S Roth, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in CT under license number 002676.

Where does Dr. Randi S Roth, PHD practice?

The practice location is 162 Kings Hwy N, Westport, CT 06880-2425. The office can be reached at 203-984-2222 (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 1629135785 directly on the NPPES registry website.

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