ROTH FAMILY MEDICINE AND MENTAL HEALTH
NPI 1134077357
Clinic/Center in Pocatello, ID

Q: What is Roth Family Medicine And Mental Health's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 21, 2026

2890 RIDGEVIEW LN, POCATELLO, ID 83204(510) 502-9455 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Roth Family Medicine And Mental Health NPPES

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

ROTH FAMILY MEDICINE AND MENTAL HEALTH (NPI 1134077357) is a healthcare organization registered as a clinic/center in Pocatello, Idaho and active in the NPI registry since March 2026. The organization lists Kyle Abraham Roth, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1134077357

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameROTH FAMILY MEDICINE AND MENTAL HEALTH

Location Address2890 RIDGEVIEW LNPocatello, ID 83204-7291

Mailing Address2890 Ridgeview LnPocatello, ID 83204-7291 · (510) 502-9455

Phone(510) 502-9455

Organization SubpartNo

Authorized OfficialKyle Abraham RothNurse Practitioner · (510) 502-9455

Enumeration DateMarch 21, 2026

NPPES CertifiedMarch 21, 2026

✔ NPI 1134077357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2890 RIDGEVIEW LN, Pocatello, ID 83204

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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 Family Medicine And Mental Health's NPI number?

The NPI number for Roth Family Medicine And Mental Health is 1134077357. It was assigned to this organization in the NPPES registry on March 21, 2026.

Where is Roth Family Medicine And Mental Health located?

Roth Family Medicine And Mental Health is located at 2890 Ridgeview Ln, Pocatello, ID 83204. The listed phone number is (510) 502-9455.

What is Roth Family Medicine And Mental Health's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Roth Family Medicine And Mental Health was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.