J.B. Roth and Assoc. P.a.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

J.B. ROTH AND ASSOC. P.A.

Practice address

2110 Priest Bridge Dr Ste 4
Crofton, MD 21114-2472

Phone

(443) 584-3808

NPI assigned

Jun 11, 2006

Last updated

Dec 14, 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. Jacob B. Roth, PH.D.NPI 1326080730

Title

President

Phone

(240) 687-0857

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 3

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.

• Jacob B. Roth, PH.D.

  • Psychologist
  • Crofton, MD
  • NPI 1326080730
  Medicare reassignment NPD Authorized official
• Barbara Galuska, LCSW-C

  • Clinical Social Worker
  • Crofton, MD
  • NPI 1104924554
  NPD (past)
• Lois Greenberg Hartman, LCPC

  • Mental Health Counselor
  • Vienna, VA
  • NPI 1104969864
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1801838214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KENT OAKS MEWS",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785672",
            "telephone_number": "240-687-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 PRIEST BRIDGE DR STE 4",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142472",
            "telephone_number": "443-584-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.B. ROTH AND ASSOC. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-687-0857",
        "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 Crofton, MD
• Providers in Crofton, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.