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PRISCILLA ROTH-WALL PH.D.
NPI 1457386963
Psychologist - Clinical in Farmington, NM

Active since July 12, 2006PECOS Enrolled
3751 N BUTLER AVE STE 115, FARMINGTON, NM 87401(505) 787-2640(505) 787-2789 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Priscilla Roth-wall Ph.d. NPPES

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

PRISCILLA ROTH-WALL PH.D. (NPI 1457386963) is an individual clinical provider in Farmington, New Mexico, licensed in New Mexico (PSY1470) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457386963
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NamePRISCILLA ROTH-WALLCredential: PH.D.
Location Address3751 N BUTLER AVE STE 115Farmington, NM 87401-6425
Mailing Address3751 N Butler Ave Ste 115Farmington, NM 87401-6425 · (505) 787-2640 · Fax (505) 787-2789
Phone(505) 787-2640
Fax(505) 787-2789
Sole ProprietorYes
Enumeration DateJuly 12, 2006
Last NPPES UpdateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1457386963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NM · PSY1470
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.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY1470 (NM)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PSY1470 (NM)
3751 N BUTLER AVE STE 115, Farmington, NM 87401
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Other Identifiers 3

Medicaid16970748NM
Other73763700NM · Magellan
OtherPSY1470NM · Psychology License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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)

Priscilla Roth-wall 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 87401 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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

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

CHILD PSYCHOLOGY CENTER
Psychologist (Clinical Child & Adolescent)
3751 N BUTLER AVE STE 115
FARMINGTON, NM 87401
San Juan County (662) 603-1035

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 Priscilla Roth-wall's NPI number?

The NPI number for Priscilla Roth-wall is 1457386963. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Priscilla Roth-wall located?

Priscilla Roth-wall practices at 3751 N Butler Ave Ste 115, Farmington, NM 87401. The listed phone number is (505) 787-2640.

What is Priscilla Roth-wall's specialty?

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

Is Priscilla Roth-wall enrolled in Medicare?

Yes. Priscilla Roth-wall is registered in the Medicare PECOS enrollment system.

What insurance does Priscilla Roth-wall accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Priscilla Roth-wall 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 Priscilla Roth-wall was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.