Organization Active NPI

Scott a. Roth, Psy.D., LLC

  • Psychologist
  • Cranbury, NJ
National Provider Identifier
1205128188
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00466700 Issued in NJ
Legal business name
SCOTT A. ROTH, PSY.D., LLC
Practice address
70 S Main St
Suite 1a
Cranbury, NJ 08512-3140
Phone
(609) 217-0973
Fax
(609) 395-0886
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott Aaron Roth, PSY.D.NPI 1447484498
Title
Licensed Psychologist
Phone
(609) 217-0973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 35SI00466700 NJ Primary

Addresses

Primary practice location

70 S Main St
Suite 1a
Cranbury, NJ 08512-3140

Mailing address

70 S Main St
Suite 1a
Cranbury, NJ 08512-3140
Phone (609) 217-0973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110705000173 NJ Part B Supplier - Clinic/Group Practice 4486832953 Receives reassigned benefits from 2 practitioners
Practice locations: Cranbury, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1205128188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S MAIN ST",
            "address_2": "SUITE 1A",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085123140",
            "telephone_number": "609-217-0973",
            "fax_number": "609-395-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S MAIN ST",
            "address_2": "SUITE 1A",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085123140",
            "telephone_number": "609-217-0973",
            "fax_number": "609-395-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A. ROTH, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "609-217-0973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00466700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.