Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAURA JO ROTH PSYCHOLOGIST
NPI 1114432317
Psychologist - Clinical in Indio, CA

Active since December 10, 2017
81673 AVENIDA ALTURAS, INDIO, CA 92203(949) 300-4623(949) 300-4623 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 27, 2026, Dec 10, 2017 (2 updates tracked since 2017).

About Laura Jo Roth Psychologist NPPES

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

LAURA JO ROTH PSYCHOLOGIST (NPI 1114432317) is an individual clinical provider in Indio, California, licensed in California (PSY12823) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1114432317
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLAURA JO ROTHCredential: PSYCHOLOGIST
Location Address81673 AVENIDA ALTURASIndio, CA 92203-7782
Mailing Address81673 Avenida AlturasIndio, CA 92203-7782 · (949) 300-4623 · Fax (949) 300-4623
Fax(949) 300-4623
Sole ProprietorYes
Enumeration DateDecember 10, 2017
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
NPI 1114432317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY12823
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
81673 AVENIDA ALTURAS, Indio, CA 92203

Other Names 1

Former Name (1)Dr. Laura Jo Roth-shofron Psychologist

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 Laura Roth's NPI number?

The NPI number for Laura Roth is 1114432317. It was assigned to this individual provider in the NPPES registry on December 10, 2017. The provider is also known as Dr. Laura Jo Roth-Shofron Psychologist.

Where is Laura Roth located?

Laura Roth practices at 81673 Avenida Alturas, Indio, CA 92203. The listed phone number is (949) 300-4623.

What is Laura Roth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Laura Roth was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.