JEFFREY ROTH PHD PSYCHOLOGY NPI 1598886558

Counselor (Mental Health) in Wilmington, DE

About JEFFREY ROTH

Jeffrey Roth is a provider in Wilmington, DE. The NPI number assigned to this provider is 1598886558. The practitioner's primary taxonomy code is Counselor (101YM0800X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1598886558

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name JEFFREY ROTH PHD PSYCHOLOGY
Provider Location Address240 N JAMES ST SUITES 104-106 WILMINGTON, DE 19804 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address240 N JAMES ST SUITES 104-106 WILMINGTON, DE 19804 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-03-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-09-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code101YM0800X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.B1-0000251
License StateDE

Business Address

JEFFREY ROTH PHD PSYCHOLOGY
240 N JAMES ST
SUITES 104-106
WILMINGTON, DE
ZIP 19804
Phone: (302) 633-0301
Fax: (302) 633-0331

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Mailing Address

JEFFREY ROTH PHD PSYCHOLOGY
240 N JAMES ST
SUITES 104-106
WILMINGTON, DE
ZIP 19804
Phone: (302) 633-0301
Fax: (302) 633-0331

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0000342567MEDICAID (05)DE
G02128T02MEDICAID (05)PA

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003937046 ANDREW P CAPONE SR. LPCMH
Individual
Counselor (Professional)240 N JAMES ST SUITE 104-106
WILMINGTON, DE 19804
(302) 633-0301
1073520656MS. FRANN SALLEY ANDERSON LCSW
Individual
240 N JAMES ST SUITE 111
NEWPORT, DE 19804
(302) 407-1645
1134260979DR. DONNA J. TUITES LPCMH
Individual
Counselor (Professional)240 N JAMES ST SUITE 111
NEWPORT, DE 19804
(302) 407-1645
1164864021DELAWARE BEHAVIORAL HEALTH, INC.
Organization
Clinical Nurse Specialist (Psych/Mental Health, Child & Family)240 N JAMES ST SUITE 100 D
NEWPORT, DE 19804
(302) 543-4425
1194004242 DANIEL D CHERNESKI LMFT
Individual
Marriage & Family Therapist240 N JAMES ST SUITE 104/106
NEWPORT, DE 19804
(302) 633-0301
1215290218RSM & ASSOCIATES, LLC
Organization
Home Health240 N JAMES ST SUITE 103
NEWPORT, DE 19804
(302) 482-4305
1316015696 CATHERINE LYNN DOTY APRN-BC
Individual
Nurse Practitioner (Psych/Mental Health)240 N JAMES ST SUITES 100D
NEWPORT, DE 19804
(484) 574-0222
1417992587THE KIDS' COUCH, INC.
Organization
Counselor (Mental Health)240 N JAMES ST SUITE 200
WILMINGTON, DE 19804
(302) 633-0301
1457481038MS. VASANTHY C. CHENNAT LPCMH
Individual
Counselor (Mental Health)240 N JAMES ST SUITE 111
NEWPORT, DE 19804
(302) 407-1645
1619244233 JESSICA SANDRA SINARSKI LPCMH
Individual
Counselor (Professional)240 N JAMES ST SUITE 200
NEWPORT, DE 19804
(302) 633-0301
1710167580 KAREN J SHINKLE LPCMH
Individual
Counselor (Mental Health)240 N JAMES ST SUITE # 104-106
NEWPORT, DE 19804
(302) 633-0301
1730548348 MICHELLE COSTELLO LPCMH
Individual
Counselor (Professional)240 N JAMES ST #104
WILMINGTON, DE 19804
(302) 633-0301
1740692573 RACHEL CAREY LMT
Individual
Massage Therapist240 N JAMES ST SUITE 200
WILMINGTON, DE 19804
(302) 633-0301
1760776678NEW BEHAVIORAL NETWORK - DELAWARE INC
Organization
Community/Behavioral Health240 N JAMES ST SUITE 203
NEWPORT, DE 19804
(302) 892-9210
1831429877MRS. ANA MARIA KEANE LCSW
Individual
Social Worker (Clinical)240 N JAMES ST STE 100D
WILMINGTON, DE 19804
(302) 543-4425
1972650919DIAKON LUTHERAN SOCIAL MINISTRIES
Organization
Community/Behavioral Health240 N JAMES ST SUITE 200
NEWPORT, DE 19804
(302) 995-2002
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