Debra C. Roach, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

008455 Issued in NY

Practice address

1357 Monroe Ave
Rochester, NY 14618-1005

Phone

(585) 442-9601

Fax

(585) 442-9606

NPI assigned

May 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Beth Cerrito PHD Psychologist PC

  • Clinical Psychologist
  • Rochester, NY
  • NPI 1467849786
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1598719965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181005",
            "telephone_number": "585-442-9601",
            "fax_number": "585-442-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181005",
            "telephone_number": "585-442-9601",
            "fax_number": "585-442-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "DEBRA",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "0005694336",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS PROVIDER #",
            "identifier": "P010008455",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE PROVIDER #",
            "identifier": "103240FC",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine H Rizzone, MD
• RLN Enterprises Inc
• RLN Enterprises, Inc
• Grace Sungun Ro, MD
• Allen Roach, PH.D.
• Marisa J. Roach, PA
• Michelle A Roach
• Sarah Roach, RN
• Carolyn Alice Robb, MD
• Jessica Fiester Robb, MD

• Clinical Psychologist in Rochester, NY
• Providers in Rochester, 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 Oct 18, 2011; 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.