Bruce Rottschafer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002212 Issued in GA

Practice address

2501 E Piedmont Rd
Suite 147
Marietta, GA 30062-7752

Phone

(770) 977-9201

Fax

(770) 947-5650

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Accord Psychological Associates

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1649441361
  NPD (past)
• Marietta Associated Psychological Services Inc

  • Clinical Psychologist
  • Marietta, GA
  • NPI 1174953780
  NPD (past)
• Chicago Christian Counseling Center Inc

  • Clinical Social Worker
  • Orland Park, IL
  • NPI 1083664510
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1205891561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E PIEDMONT RD",
            "address_2": "SUITE 147",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627752",
            "telephone_number": "770-977-9201",
            "fax_number": "770-947-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E PIEDMONT RD",
            "address_2": "SUITE 147",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627752",
            "telephone_number": "770-977-9201",
            "fax_number": "770-947-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTSCHAFER",
        "first_name": "BRUCE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique An-Jel Rosser, FNP
• Melissa Rossi
• Michael Rossitch, DDS
• Roswell Eye Surgery Center, LLC (Roswell Eye Surgery Center)
• Caren Rothstein
• Nason Daniel Rouhizad, D.O.
• George John Rouse, D.C.
• Sydney Routh, DC
• Karlee Rowan, RBT
• Clay Coston Rowe Jr.

• Clinical Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.