Organization Active NPI

Michael S. Roath MD Fapa PC

  • Adult Mental Health Clinic/Center
  • Springfield, VA
National Provider Identifier
1346563285
Registry record updated Mar 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0101020922 Issued in VA
Legal business name
MICHAEL S. ROATH MD FAPA PC
Practice address
8322 Traford LN
Suite D
Springfield, VA 22152-1668
Phone
(703) 451-6113
Fax
(703) 866-2430
NPI assigned
Mar 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2010

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

Authorized official

Name
Michael S. Roath, MD
Title
Physician/Psychiatrist
Phone
(703) 451-6113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 0101020922 VA Primary

Addresses

Primary practice location

8322 Traford LN
Suite D
Springfield, VA 22152-1668

Mailing address

8322 Traford LN
Suite D
Springfield, VA 22152-1668
Phone (703) 451-6113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267833600000",
    "number": "1346563285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 TRAFORD LN",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521668",
            "telephone_number": "703-451-6113",
            "fax_number": "703-866-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 TRAFORD LN",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521668",
            "telephone_number": "703-451-6113",
            "fax_number": "703-866-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. ROATH MD FAPA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-06",
        "last_updated": "2010-03-06",
        "status": "A",
        "authorized_official_last_name": "ROATH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN/PSYCHIATRIST",
        "authorized_official_telephone_number": "703-451-6113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0101020922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2010; 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.