Active NPI
Karen Rothman, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1205506672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 025216
- Practice address
- 5 E 16TH St FL 6
New York, NY 10003-3112 - Phone
- (347) 486-4307
- NPI assigned
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 111939-01 | NY | |
| Clinical Psychologist | 103TC0700X | 025216 | NY | Primary |
Addresses
Primary practice location
5 E 16TH St FL 6
New York, NY 10003-3112
Mailing address
PO Box 7785
New York, NY 10116-7785
Phone (201) 294-5295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 1, 2023 through Nov 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025216 | NY | MD | Clinical Psychologist |
| 111939-01 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1205506672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7785",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101167785",
"telephone_number": "201-294-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 16TH ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033112",
"telephone_number": "347-486-4307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2023-06-22",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "111939-01",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "025216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.