Nathan Paul Roth, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

4079 Issued in NC

Practice address

3770 Skyland Dr
Sylva, NC 28779-8360

Phone

(828) 399-1399

Fax

(828) 475-0400

NPI assigned

Aug 27, 2008

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jackson County Psychological Services

  • Adolescent and Children Mental Health Clinic/Center
  • Sylva, NC
  • NPI 1699088583
  NPD (past)
• Jackson County Psychological Services PA

  • Professional Counselor
  • Sylva, NC
  • NPI 1396802914

  Clinical Child & Adolescent

  NPD (past)

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1225285679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 865",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790865",
            "telephone_number": "828-399-1399",
            "fax_number": "828-475-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 SKYLAND DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798360",
            "telephone_number": "828-399-1399",
            "fax_number": "828-475-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "NATHAN",
        "middle_name": "PAUL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "4079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Rogers, NP
• Selena J Rogers, AU.D.
• Marie Romeo, LCSW, LCAS
• Amelia Marie Rosenkrans, PHARMD
• Natalie A Roth, MA
• Olena Grytsyk Rowland, NP
• Joseph Blackburn Ruebel III, PSYD, HSP-P
• Kevin Russell
• Stephen Reed Russell, PH.D.
• Salyer Hearing Center, PLLC

• Clinical Child & Adolescent Psychologist in Sylva, NC
• Providers in Sylva, NC by specialty
• Clinical Child & Adolescent Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.