Judy Lynn Rotach, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2115 County Road D E # B
Maplewood, MN 55109-5353

Phone

(651) 748-5019

Fax

(651) 773-7591

NPI assigned

Jan 24, 2008

Last updated

Jan 24, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN

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

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Arden Woods Psychological Services PAGroup PAC ID 3173429214, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arden Woods Psychological Services PA

  • Clinical Psychologist
  • New Brighton, MN
  • NPI 1669576278
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1669659314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 COUNTY ROAD D E # B",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095353",
            "telephone_number": "651-748-5019",
            "fax_number": "651-773-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 COUNTY ROAD D E # B",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095353",
            "telephone_number": "651-748-5019",
            "fax_number": "651-773-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTACH",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Rogers-Tanner, MS LP
• Janessa Nicole Romain
• Angel Luis Rosado, M.D.
• Annemarie Elizabeth Roscoe
• Aaron Rosenblum, MD
• Eric Brandon Roth, M.D.
• Kristin Marie Rouse, MD
• Rowh Chiropractic Enterprises P.a. (Vertical Chiropractic)
• Ryan Rowlson
• Sharon P Roznick, NNP

• Mental Health Counselor in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.