Alec Roth, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY4866 Issued in FL

Practice address

8890 W Oakland Park Blvd
Suite #103
Sunrise, FL 33351-7235

Phone

(954) 742-7032

Fax

(954) 742-7868

NPI assigned

Sep 27, 2005

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

Enrolled in FL

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, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmwood Center for Psychological Services, P.a.Group PAC ID 5092993527, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Networks

• Freedom Health HMO Network

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.

• Palmwood Center for Psychological Services, P.a.

  • Clinical Psychologist
  • Sunrise, FL
  • NPI 1306055942
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1306832027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD",
            "address_2": "SUITE #103",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517235",
            "telephone_number": "954-742-7032",
            "fax_number": "954-742-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD",
            "address_2": "SUITE #103",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517235",
            "telephone_number": "954-742-7032",
            "fax_number": "954-742-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "ALEC",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry W Rosenthal, D.D.S.
• Brian Evan Rosenthal, DDS
• Jennifer Paige Ross, CRNA
• Sheldon Ross, D.P.M.
• Rossy Medical Inc
• Rouse Family Eye Care, P.a.
• David Wayne Rouse, O.D.
• Royal Living at Sunrise Alf Inc
• Anna Royzman, D.M.D
• Jonathan M. Rubin, MD

• Psychologist in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.