Individual provider Active NPI

Herbert Ivan Rothfarb, PH.D.

  • Clinical Psychologist
  • Fall River, MA
National Provider Identifier
1952455826
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2012 Issued in MA
Practice address
215 Pleasant St Ste 4
Fall River, MA 02721-3018
Phone
(508) 673-0064
Fax
(508) 673-3223
NPI assigned
Jan 22, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2012 MA Primary

Addresses

Primary practice location

215 Pleasant St Ste 4
Fall River, MA 02721-3018

Mailing address

215 Pleasant St Ste 4
Fall River, MA 02721-3018
Phone (508) 673-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000858 MA Practitioner - Clinical Psychologist 5193784064 Practice locations: Cambridge, MA; Fall River, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1001 Memorial Dr
Cambridge, MA 02138-4842
Phone (617) 868-7249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2012MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing With Hope Counseling Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952455826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PLEASANT ST STE 4",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213018",
            "telephone_number": "508-673-0064",
            "fax_number": "508-673-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PLEASANT ST STE 4",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213018",
            "telephone_number": "508-673-0064",
            "fax_number": "508-673-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHFARB",
        "first_name": "HERBERT",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.