Richard L Roth MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101028447 Issued in VA

Legal business name

RICHARD L ROTH MD PC

Practice address

6845 Elm Street
Suite 210
McLean, VA 22101-3822

Phone

(703) 821-2337

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Richard Lee Roth, MD

Title

President

Phone

(703) 821-2337

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1740387976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 ELM STREET",
            "address_2": "SUITE 210",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013822",
            "telephone_number": "703-821-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM STREET",
            "address_2": "SUITE 210",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013822",
            "telephone_number": "703-821-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L ROTH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-821-2337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101028447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "059999",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010255155",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS",
            "identifier": "8555",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan Afshin Rezaie
• Zahra Nooshin Rezvani, M.D., PH.D.
• Mariyah Faisal Riaz
• Laura Ann Ricard, PA-C
• Reyna A Rice, LPC
• Richard M. Davidson, OD PC
• Alexandra Marie Richardson
• Deborah Jeanne Richardson, CRNA
• Richey Fas LLC (Richey and Company Shoes)
• Dayshia Richmond, BA

• Psychiatry Physician in McLean, VA
• Providers in McLean, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.