DR. JEFFREY PAUL ROACH PH.D.
NPI 1114949351
Psychologist - Clinical in Tonawanda, NY

Q: What is Jeffrey Roach's NPI number?

The NPI number for Jeffrey Roach is 1114949351. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Jeffrey Roach's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Roach was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 24, 2006PECOS Enrolled

884 BRIGHTON RD, TONAWANDA, NY 14150(716) 836-9460 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jeffrey Paul Roach Ph.d. NPPES

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

DR. JEFFREY PAUL ROACH PH.D. (NPI 1114949351) is an individual clinical provider in Tonawanda, New York, licensed in New York (011900) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114949351

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JEFFREY PAUL ROACHCredential: PH.D.

Location Address884 BRIGHTON RDTonawanda, NY 14150-8169

Mailing Address884 Brighton RdTonawanda, NY 14150-8169 · (716) 836-9460

Phone(716) 836-9460

Sole ProprietorYes

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114949351 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 NY · 011900

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.

884 BRIGHTON RD, Tonawanda, NY 14150

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Paul Roach Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CAROLANN SCHWARTZ LCSW

Social Worker (Clinical)