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ROTH CLINIC (DBA)
NPI 1063764587
Community/Behavioral Health in Saint Louis, MO

Active since October 08, 2012
734 W PORT PLZ DR., SUITE 273, SAINT LOUIS, MO 63146(314) 227-0124 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roth Clinic (dba) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROTH CLINIC (DBA) (NPI 1063764587) is a healthcare organization registered as a community/behavioral health in Saint Louis, Missouri and active in the NPI registry since October 2012. The organization lists Lia Angelica Roth, President, as its authorized official.

NPPES Registry Identity

NPI1063764587
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameROTH CLINIC (DBA)
Location Address734 W PORT PLZ DR., SUITE 273Saint Louis, MO 63146-3000
Mailing Address734 W Port Plz Dr., Suite 273Saint Louis, MO 63146-3000 · (314) 227-0124
Phone(314) 227-0124
Organization SubpartNo
Authorized OfficialLia Angelica RothPresident · (314) 227-0124
Enumeration DateOctober 8, 2012
✔ NPI 1063764587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MO · 2009030440
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
734 W PORT PLZ DR., Saint Louis, MO 63146
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Other Identifiers 3

OtherMA2277MO · Medicare Ptan
Other1306164728MO · Medicare Npi Type 1
Other12086529MO · Caqh

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roth Clinic (dba)'s NPI number?

The NPI number for Roth Clinic (dba) is 1063764587. It was assigned to this organization in the NPPES registry on October 8, 2012.

Where is Roth Clinic (dba) located?

Roth Clinic (dba) is located at 734 W Port Plz Dr. Suite 273, Saint Louis, MO 63146. The listed phone number is (314) 227-0124.

What is Roth Clinic (dba)'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Roth Clinic (dba) was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.