DR. SHANAN LEA ROTH PSY.D.
NPI 1144238874
Clinical Neuropsychologist in Ennis, TX

Q: What is Shanan Roth's NPI number?

The NPI number for Shanan Roth is 1144238874. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Shanan Roth's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Shanan Roth was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 August 05, 2006PECOS Enrolled

92.18/100

CMS Quality Rating

2201 LANEVIEW ROAD, ENNIS, TX 75119(214) 394-2502 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Shanan Lea Roth Psy.d. NPPES

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

DR. SHANAN LEA ROTH PSY.D. (NPI 1144238874) is an individual clinical neuropsychologist in Ennis, Texas, licensed in Texas (36282) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144238874

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. SHANAN LEA ROTHCredential: PSY.D.

Location Address2201 LANEVIEW ROADEnnis, TX 75119-0841

Mailing Address2201 Laneview RoadEnnis, TX 75119-0841 · (214) 394-2502

Phone(214) 394-2502

Sole ProprietorYes

Enumeration DateAugust 5, 2006

Last NPPES UpdateFebruary 6, 2015

✔ NPI 1144238874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in TX · 36282

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

2201 LANEVIEW ROAD, Ennis, TX 75119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

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. Shanan Lea Roth Psy.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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

191 services19 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.04

Improvement Activities

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 Shanan Roth's NPI number?

The NPI number for Shanan Roth is 1144238874. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Shanan Roth located?

Shanan Roth practices at 2201 Laneview Road, Ennis, TX 75119. The listed phone number is (214) 394-2502.

What is Shanan Roth's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Shanan Roth enrolled in Medicare?

Yes. Shanan Roth is registered in the Medicare PECOS enrollment system.

What insurance does Shanan Roth accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Shanan Roth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shanan Roth was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.