DR. MARTIN R. ROTH PH.D.
NPI 1174747125
Psychologist in White Plains, NY

Active since April 12, 2007Opted out of Medicare · through Jul 1, 2027
19 DUPONT AVE, WHITE PLAINS, NY 10605(914) 949-3050 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Martin R. Roth Ph.d. NPPES

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

DR. MARTIN R. ROTH PH.D. (NPI 1174747125) is an individual psychologist in White Plains, New York, licensed in New York (7409) and active in the NPI registry since April 2007. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1174747125
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARTIN R. ROTHCredential: PH.D.
Location Address19 DUPONT AVEWhite Plains, NY 10605-3537
Mailing Address19 Dupont AveWhite Plains, NY 10605-3537 · (914) 949-3050
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateOctober 31, 2016
NPI 1174747125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 7409
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
19 DUPONT AVE, White Plains, NY 10605

Other Identifiers 1

Medicare UPIN112788235NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Martin R. Roth Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Martin Roth's NPI number?

The NPI number for Martin Roth is 1174747125. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Martin Roth located?

Martin Roth practices at 19 Dupont Ave, White Plains, NY 10605. The listed phone number is (914) 949-3050.

What is Martin Roth's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Martin Roth enrolled in Medicare?

No. Martin Roth has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Martin Roth was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.