Active NPI
Natalie Roth, M.S. ED
- School Psychologist
- Brooklyn, NY
National Provider Identifier
1104250463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 773871132
- Practice address
- 135 Eastern Pkwy Apt 5G
Brooklyn, NY 11238-6024 - Phone
- (646) 739-8547
- NPI assigned
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 773871132 | NY | Primary |
Addresses
Primary practice location
135 Eastern Pkwy Apt 5G
Brooklyn, NY 11238-6024
Mailing address
135 Eastern Pkwy Apt 5G
Brooklyn, NY 11238-6024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 773871132 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1104250463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 EASTERN PKWY APT 5G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 EASTERN PKWY APT 5G",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386024",
"telephone_number": "646-739-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "NATALIE",
"name_prefix": "Ms.",
"credential": "M.S. ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "773871132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.