Randi S. Roth, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

002676 Issued in CT

Practice address

162 Kings Hwy N
Westport, CT 06880-2425

Phone

(203) 984-2222

NPI assigned

Jan 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629135785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VALLEY FORGE LN",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068832013",
            "telephone_number": "203-984-2222",
            "fax_number": "203-221-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 KINGS HWY N",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802425",
            "telephone_number": "203-984-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "RANDI",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002676",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Rodman, LCSW
• Donna Ellen Rogg, MSW
• Mark S Roisman, D.M.D.
• David A. Romeo, DMD
• Gary Joseph Romeo, DMD
• Rountree LCSW LLC
• Cheryl Ford Rountree, LCSW
• Joseph Stephen Roy, MD
• Benay Rubin, OTR/L
• Leonard H Ruder, M.S.W.

• Psychologist in Westport, CT
• Providers in Westport, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.