Dr. Mark Roth and Associates

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR. MARK ROTH AND ASSOCIATES

Practice address

333 N Alabama St Ste 350
Indianapolis, IN 46204-2275

Phone

(317) 459-6755

Fax

(317) 296-7207

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mark R Roth, PH.D.NPI 1881638690

Title

Clinical Psychologist

Phone

(317) 459-6755

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark R Roth, PHD, HSPP

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1881638690
  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1689354573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 CAMEO DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329313",
            "telephone_number": "317-459-6755",
            "fax_number": "317-296-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N ALABAMA ST STE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042275",
            "telephone_number": "317-459-6755",
            "fax_number": "317-296-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK ROTH AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "317-459-6755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.