ALLEN ROTH EDUCATIONAL AND PSYCHOLOGICAL SERVICES (NPI# 1790034072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790034072 |
Entity Type | Organization |
Organization Name | ALLEN ROTH EDUCATIONAL AND PSYCHOLOGICAL SERVICES |
Practice Address |
36 Park St Montclair NJ 07042-3440 |
Practice Telephone | 9733785641 |
Practice Fax Number | 9737620045 |
Mailing Telephone | 9733785641 |
Mailing Fax Number | 9737620045 |
Enumeration Date | 2012-09-02 |
Last Update Date | 2012-09-02 |
Authorized Official Name | ANDREW ROTH (PRACTITIONER/GENERAL PARTNER) |
Authorized Official Telephone | 9733785641 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00375000 | NJ | Behavioral Health & Social Service Providers |
Street Address |
36 PARK ST |
City | MONTCLAIR |
State | NJ |
Zip Code | 07042-3440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649524943 | Diane Gianelli Roehm | Social Worker | 36 Park St, Montclair, NJ 07042-3440 | 2012-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
Find all providers in zip 07042 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306352356 | Leore J Faber | Psychologist | 51 Upper Montclair Plz Ste 2, Montclair, NJ 07043-1340 | 2017-12-28 |
1114396835 | Montclair Memory Clinic LLC | Psychologist | 70 Park Street, Suite 207, Montclair, NJ 07042-2960 | 2015-09-23 |
1699172338 | Arthur Lee Pressley Jr. | Psychologist | 50 Church Street, Montclair, NJ 07042 | 2014-11-24 |
1891102893 | Sam John Tsemberis | Psychologist | 27 Warren Pl, Montclair, NJ 07042-2528 | 2014-07-22 |
1073821351 | Blake Evan Kirschner | Psychologist | 299 Orange Rd, Floor 1, Montclair, NJ 07042-4420 | 2010-09-20 |
1245443563 | James G. Garofallou | Psychologist | 82 Midland Ave, Montclair, NJ 07042-2916 | 2007-05-07 |
1801008883 | Peggy Van Raalte | Psychologist | 19 Brunswick Rd, Montclair, NJ 07042-3027 | 2007-05-04 |
1528283785 | Frank James Trankina | Psychologist | 11144 Buckskin Ave, Montclair, CA 91763-6400 | 2007-04-14 |
1952442303 | Arnold Wilson | Psychologist | 144 Union St, Montclair, NJ 07042-2124 | 2007-02-09 |
1356354245 | Robert Raymond | Psychologist | 408 Bloomfield Ave Ste A-1, Montclair, NJ 07042-3573 | 2006-08-14 |
Find all providers in MONTCLAIR |
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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.