DR. CHARLES P ROTH (NPI# 1154557064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154557064 |
| Entity Type | Individual |
| Full Name | DR. CHARLES P ROTH |
| Credential | PH.D. |
| Practice Address |
2538 California St San Francisco CA 94115-2616 |
| Practice Telephone | 4159298701 |
| Mailing Telephone | 4159298701 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 19541 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568682060 | Charles D Roth | Dentist | 5775 Main Street, Rock Hall, MD 21661 | 2007-04-26 |
| 1982627410 | Charles J Roth | Dentist | 412 Cernon St Ste C, Vacaville, CA 95688-4549 | 2006-07-25 |
| 1740305226 | Charles J. Roth | Physician Assistant | 33 Sewall St, Portland, ME 04102-2603 | 2007-03-21 |
| 1902956501 | Charles P Roth | Psychologist | 412 E King St, Malvern, PA 19355-3004 | 2007-01-12 |
| 1538252630 | Charles A Roth | Specialist | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7809 | 2006-10-02 |
| 1679527956 | Charles B Roth | Physician Assistant | 42084 State Highway 28, Margaretville, NY 12455-2820 | 2006-05-20 |
| Street Address |
2538 CALIFORNIA ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619993557 | Tamara Mcclintock Greenberg | Psychologist | 2538 California St, San Francisco, CA 94115-2616 | 2006-07-14 |
| 1033366810 | Matthew Paul Morrissey | Marriage & Family Therapist | 2538 California St, San Francisco, CA 94115-2616 | 2008-08-22 |
| 1518169507 | Linda S Fraser | Marriage & Family Therapist | 2538 California St, San Francisco, CA 94115-2616 | 2007-06-03 |
| 1073726659 | Charles Marshall | Psychologist | 2538 California St, San Francisco, CA 94115-2616 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447800842 | Lainie Falco Posecion | Clinical Neuropsychologist | 1340 Taylor St Apt 6, San Francisco, CA 94108-1033 | 2019-09-17 |
| 1174909824 | Ronald H Roberts | Clinical Neuropsychologist | 2000 Van Ness Ave Ste 512, San Francisco, CA 94109-3017 | 2015-08-05 |
| 1912383886 | Gina Pfeifle | Clinical Neuropsychologist | 1825 Fourth Street, 6th Floor, M-6395, Ucsf Bx 4054, San Francisco, CA 94143 | 2015-08-03 |
| 1912293168 | Lisa Sporri | Clinical Neuropsychologist | 912 Cole St # 275, San Francisco, CA 94117-4316 | 2011-06-27 |
| 1376847293 | Ricardo Winkel | Clinical Neuropsychologist | 101 California St Ste 2450, San Francisco, CA 94111-6102 | 2011-01-06 |
| 1023318540 | Helen Chen | Clinical Neuropsychologist | 909 Hyde St Ste 620, San Francisco, CA 94109-4847 | 2010-11-01 |
| 1669789194 | Nicole Lara Sucre | Clinical Neuropsychologist | 1700 Pierce St Ste 103, San Francisco, CA 94115-3187 | 2010-09-03 |
| 1174842041 | Eric Michael Fine | Clinical Neuropsychologist | 533 Parnassus Ave, Uc Hall 426, Ucsf Memory and Aging Center, San Francisco, CA 94117 | 2010-05-18 |
| 1861632408 | Nataliya Belfor | Clinical Neuropsychologist | 2299 Post St Ste 307, San Francisco, CA 94115-3441 | 2009-02-23 |
| 1295971984 | Amanda Gregory | Clinical Neuropsychologist | 3644 Market St, San Francisco, CA 94131-1339 | 2008-12-30 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
Please comment or provide details below to improve the information on DR. CHARLES P ROTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.