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Andrew Roth

Clinical Psychologist

55 Park St
Montclair , New Jersey 07042-3439

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Andrew Roth

Clinical Psychologist

55 Park St
Montclair , New Jersey 07042-3439

(973) 821-3420

Write a Review Save Call

Andrew Roth

Clinical Psychologist

55 Park St
Montclair , New Jersey 07042-3439

(973) 821-3420 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist

Languages spoken

  • English

Location

55 Park St Montclair , New Jersey 07042-3439

First Address

  • Andrew Roth
  • 24 Harrison Ct
  • South Orange, NJ
  • Zip : 07079-2409
  • Fax : (973) 821-3420
  • Phone : (973) 378-5641

Second Address

  • Andrew Roth
  • 55 Park St
  • Montclair, NJ
  • Zip : 07042-3439
  • Fax : (973) 762-0045
  • Phone : (973) 378-5641

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FAQs


Where did Andrew Roth attend graduate school?

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Where did Andrew Roth do his residency?

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Where did Andrew Roth do his fellowship?

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Is Andrew Roth board certified?

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What type of doctor is Andrew Roth

Clinical Psychologist

In what state does Andrew Roth practice in?

New Jersey

Where is Andrew Roth ’s practice located?

55 Park St , Montclair, New Jersey, 07042-3439

What is Andrew Roth ’s gender?

Male

Is Andrew Roth a sole practitioner?

No

Is Andrew Roth accepting new patients?

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What languages does Andrew Roth speak?

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Does Andrew Roth accept insurance?

Yes, Andrew Roth accepts insurance

Does Andrew Roth offers telemedicine?

Andrew Roth has not indicated if he offers telemedicine

What is Andrew Roth ’s professional license number?

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What is Andrew Roth ’s NPI number?

1013055649

Does Andrew Roth have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103G00000X Clinical Psychologist 35SI00375000 NJ
Y 103TC0700X Clinical Psychologist 35SI00375000 NJ

National Provider Identifier

NPI 1013055649
Provider Name Andrew Roth
First Address South Orange, NJ 07079-2409
Second Address Montclair, NJ 07042-3439
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 04/02/2007
Last Update Date 10/12/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
S84611 (02) NJ

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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