Roger a. Kalthoff, PH.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2749 Issued in NC

Legal business name

ROGER A. KALTHOFF, PH.D., P.A.

Practice address

936 W 4TH St
Winston Salem, NC 27101-2564

Phone

(336) 577-8041

NPI assigned

Oct 29, 2005

Organization subpart

No

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

Authorized official

Name

Roger Alan Kalthoff, PH.D.

Title

Owner/President

Phone

(336) 577-8041

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1130544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508857699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S MARSHALL ST",
            "address_2": "UNIT C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015849",
            "telephone_number": "336-577-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W 4TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012564",
            "telephone_number": "336-577-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER A. KALTHOFF, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALTHOFF",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "336-577-8041",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainer Rodriguez, MD
• Vanessa Rodriguez
• Christina Roels
• Jordan Nicole Roels, LCMHC, NCC
• Melissa P Rogan, MACCSLP
• Roger N Reynolds 111 DDS Ms PA
• Rogers Counseling and Consultation, PLLC
• Aaliyah Rogers
• Bonita Henderson Rogers, CRNA
• Brooke Rogers

• Clinical Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.