Robert E Roth PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ROBERT E ROTH PSYD

Doing business as

Roth Neuropsychology & Behavioral Health Assoc

Practice address

2333 Knob Creek Rd
Suite 11
Johnson City, TN 37604-2007

Phone

(423) 952-0500

Fax

(423) 950-0005

NPI assigned

Jul 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Eric Roth, PSYDNPI 1992792519

Title

Owner

Phone

(423) 952-0500

Specialties & licenses 1

Addresses

Other names 1

• Roth Neuropsychology & Behavioral Health Assoc Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Eric Roth, PSYD

  • Psychologist
  • Johnson City, TN
  • NPI 1992792519
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Kurt Neumann, PH.D.

  • Clinical Psychologist
  • Johnson City, TN
  • NPI 1194876490
  Medicare reassignment Care Compare group NPD
• Valerie Needham, PSY.D.

  • Psychologist
  • Manassas, VA
  • NPI 1275992661

  TN

  Medicare reassignment Care Compare group NPD
• Leah Elizabeth Roth, MSW

  • Clinical Social Worker
  • Johnson City, TN
  • NPI 1124015771
  Medicare reassignment Care Compare group
• Rebekah C Ramey, SLPE, LPC

  • Professional Counselor
  • Johnson City, TN
  • NPI 1639166275
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679593040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 KNOB CREEK RD",
            "address_2": "SUITE 11",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042007",
            "telephone_number": "423-952-0500",
            "fax_number": "423-950-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 KNOB CREEK RD",
            "address_2": "SUITE 11",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042007",
            "telephone_number": "423-952-0500",
            "fax_number": "423-950-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E ROTH PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-952-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roth Neuropsychology & Behavioral Health Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Shadden Roark, RD
• Tammy Lynn Roark, LADAC II
• Christopher Robbins
• Margaret Shippen Robbins, M.D.
• Melissa A Robbins, FNP
• Amy Michelle Roberts, LCSW
• Aubrey Hope Roberts, LPC/MHSP
• Dustin Paul Roberts, CRNA
• Kaitlin Roberts, PHARMD
• Kaleb Roberts

• Clinical Psychologist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinical Psychologist in Tennessee

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.