Jan L. Roth-Hauptman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

009624 Issued in NY

Practice address

305 E 24TH St
Apt. 6C
New York, NY 10010-4011

Phone

(212) 686-5116

NPI assigned

Mar 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.02 of 100Reported as group

Quality

67.92

Improvement activities

40

Cost

65.54

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Medical Healthcare Services P.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1427342658
  Medicare reassignment NPD
• Nysarc Inc

  • Voluntary or Charitable Agency
  • New York, NY
  • NPI 1457450124
  Medicare reassignment NPD
• Psychiatry and Psychotherapy Practice P.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1548298508
  NPD (past)

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467411512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 24TH ST",
            "address_2": "APT. 6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104011",
            "telephone_number": "212-686-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 24TH ST",
            "address_2": "APT. 6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104011",
            "telephone_number": "212-686-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH-HAUPTMAN",
        "first_name": "JAN",
        "middle_name": "L.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01257996",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Lu Rotblat
• Andrea Deborah Rotelli, ND
• Deborah Carol Rotenberg Moses, LCSW
• Meir Rotenberg, MD
• Gil Roter, M.D.
• Avery Roth-Hawthorne
• Andrea Roth, LCSW
• Andrew J Roth, MD
• Antonia Roth
• Bennett E Roth, PHD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.