DR. SUSAN ROTH ED.D.
NPI 1497776975
Psychologist in Watchung, NJ

Active since July 21, 2006PECOS Enrolled
744 MOUNTAIN BLVD, WATCHUNG, NJ 07069(908) 791-1400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Susan Roth Ed.d. NPPES

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

DR. SUSAN ROTH ED.D. (NPI 1497776975) is an individual psychologist in Watchung, New Jersey, licensed in New Jersey (2039) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497776975
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN ROTHCredential: ED.D.
Location Address744 MOUNTAIN BLVDWatchung, NJ 07069-6297
Mailing Address744 Mountain BlvdWatchung, NJ 07069-6297 · (908) 791-1400
Sole ProprietorYes
Enumeration DateJuly 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497776975 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 NJ · 2039
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.
744 MOUNTAIN BLVD, Watchung, NJ 07069

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. Susan Roth Ed.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.

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
744 MOUNTAIN BLVD
WATCHUNG, NJ 07069

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 Susan Roth's NPI number?

The NPI number for Susan Roth is 1497776975. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Susan Roth located?

Susan Roth practices at 744 Mountain Blvd, Watchung, NJ 07069. The listed phone number is (908) 791-1400.

What is Susan Roth's specialty?

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

Is Susan Roth enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Roth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.