Individual provider Active NPI

Maria Catherine Rothhaar, PHD

  • Clinical Neuropsychologist
  • Saint Louis, MO
National Provider Identifier
1508259003
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2015042889 Issued in MO
Practice address
522 N New Ballas Rd Ste 121
Saint Louis, MO 63141-6820
Phone
(314) 391-6770
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2015042889 MO Primary
Clinical Psychologist 103TC0700X 2015042889 MO

Addresses

Primary practice location

522 N New Ballas Rd Ste 121
Saint Louis, MO 63141-6820

Mailing address

522 N New Ballas Rd Ste 121
Saint Louis, MO 63141-6820
Phone (314) 391-6770

Other practice location 1

8515 Delmar Blvd Ste 230
Saint Louis, MO 63124-2168
Phone (314) 451-3263

Other names 1

  • Maria Catherine Grosch Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria.rothhaar@acuityneuro.com Direct

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1508259003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 121",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416820",
            "telephone_number": "314-391-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 121",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416820",
            "telephone_number": "314-391-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8515 Delmar Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631242168",
            "country_code": "US",
            "telephone_number": "314-451-3263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHHAAR",
        "first_name": "MARIA",
        "middle_name": "CATHERINE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2020-09-02",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MO",
            "license": "2015042889",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2015042889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.rothhaar@acuityneuro.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "522 N New Ballas Rd Ste 121",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "GROSCH",
            "middle_name": "CATHERINE",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.