Individual provider Active NPI

Valerie Roth, PSY. D.

  • School Psychologist
  • Lakewood Ranch, FL
National Provider Identifier
1407323090
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1318 Issued in FL
Practice address
9040 Town Center Pkwy
Lakewood Ranch, FL 34202-4101
Phone
(941) 877-0284
NPI assigned
Nov 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SS1318 FL Primary

Addresses

Primary practice location

9040 Town Center Pkwy
Lakewood Ranch, FL 34202-4101

Mailing address

9040 Town Center Pkwy
Lakewood Ranch, FL 34202-4101
Phone (941) 877-0284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SS1318FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Psychological Services, LLC School Current Accepting new patients

Locations

9040 Town Center Pkwy
Lakewood Ranch, FL 34202
Phone (941) 444-2019

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1407323090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 TOWN CENTER PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024101",
            "telephone_number": "941-877-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 TOWN CENTER PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024101",
            "telephone_number": "941-877-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-01",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.