Active NPI
Scott a. Roth, Psy.D., LLC
- Psychologist
- Cranbury, NJ
National Provider Identifier
1205128188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00466700
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Cranbury, NJ
- NPI 1447484498
-
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1558903005
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.