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

Active since July 21, 2006Opted out of Medicare · through Oct 10, 2026
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: August 02, 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 has opted out of Medicare through October 10, 2026 and remains eligible to order and refer.

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

Opted out of Medicare

Dr. Susan Roth Ed.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 October 10, 2016 through October 10, 2026.

Opt-Out Effective DateOctober 10, 2016
Opt-Out In Effect ThroughOctober 10, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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?

No. Susan Roth has opted out of Medicare through October 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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.