DR. JACOB B. ROTH PH.D.
NPI 1326080730
Psychologist in Crofton, MD

Active since June 11, 2006PECOS Enrolled
2110 PRIEST BRIDGE DR, SUITE 4, CROFTON, MD 21114(301) 858-9880(410) 721-2895 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob B. Roth Ph.d. NPPES

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

DR. JACOB B. ROTH PH.D. (NPI 1326080730) is an individual psychologist in Crofton, Maryland, licensed in Maryland (1194) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1326080730
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JACOB B. ROTHCredential: PH.D.
Location Address2110 PRIEST BRIDGE DR, SUITE 4Crofton, MD 21114-2472
Mailing Address2110 Priest Bridge Dr, Suite 4Crofton, MD 21114-2472 · (301) 858-9880 · Fax (410) 721-2895
Fax(410) 721-2895
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateJune 11, 2006
Last NPPES UpdateJune 3, 2014
NPI 1326080730 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 MD · 1194
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.
2110 PRIEST BRIDGE DR, Crofton, MD 21114

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. Jacob B. Roth Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264445113
PECOS Enrollment IDI20060720000095
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.

Other Providers at the Same Location NPPES 8

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

Psychologist
2110 PRIEST BRIDGE DR, SUITE 4
CROFTON, MD 21114
Psychologist
2110 PRIEST BRIDGE DR, SUITE 4
CROFTON, MD 21114
Counselor (Mental Health)
2110 PRIEST BRIDGE DR
CROFTON, MD 21114
Psychologist (Clinical)
2110 PRIEST BRIDGE DR
CROFTON, MD 21114
Chiropractor (Rehabilitation)
2110 PRIEST BRIDGE DR, SUITE 6
CROFTON, MD 21114
Chiropractor (Rehabilitation)
2110 PRIEST BRIDGE DR, SUITE 6
CROFTON, MD 21114
Acupuncturist
2110 PRIEST BRIDGE DR, STE. 3
CROFTON, MD 21114
Social Worker (Clinical)
2110 PRIEST BRIDGE DR, SUITE 3
CROFTON, MD 21114

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 Jacob Roth's NPI number?

The NPI number for Jacob Roth is 1326080730. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Jacob Roth located?

Jacob Roth practices at 2110 Priest Bridge Dr Suite 4, Crofton, MD 21114. The listed phone number is (301) 858-9880.

What is Jacob Roth's specialty?

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

Is Jacob Roth enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Roth was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.