Allen Roth Educational and Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00375000 Issued in NJ

Legal business name

ALLEN ROTH EDUCATIONAL AND PSYCHOLOGICAL SERVICES

Practice address

36 Park St
Montclair, NJ 07042-3440

Phone

(973) 378-5641

Fax

(973) 762-0045

NPI assigned

Sep 2, 2012

Last updated

Sep 2, 2012By 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

Andrew Roth, PH.D.NPI 1013055649

Title

Practitioner/General Partner

Phone

(973) 378-5641

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Andrew Roth, PH.D.

  • Clinical Psychologist
  • Montclair, NJ
  • NPI 1013055649
  Authorized official Same address or phone
• Ben J Susswein, PHD

  • Psychologist
  • Montclair, NJ
  • NPI 1598971467
  NPD (past)

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346544000000",
    "number": "1790034072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423440",
            "telephone_number": "973-378-5641",
            "fax_number": "973-762-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423440",
            "telephone_number": "973-378-5641",
            "fax_number": "973-762-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN ROTH EDUCATIONAL AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRACTITIONER/GENERAL PARTNER",
        "authorized_official_telephone_number": "973-378-5641",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00375000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All Total Health Care
• Allam Medical Group LLC
• Bharat Reddy Allam, D.O.
• Naveen Reddy Allam, M.D.
• Reddy B Allam, MD
• Allies, Inc.
• Suzanne Allikas
• Muaaz Mazen Almerstani, MD
• Fredrika Alper, PH.D., M.S.W.
• Jane Ellen Alsen, M.S.P.T.

• Clinical Psychologist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2012; 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.