KRISTIANSSON ROTH PC
NPI 1649503327
Psychologist in Saint Marys, GA

Active since September 11, 2009
4445 HWY 40, SATURDAY PARK 503, SAINT MARYS, GA 31558(912) 409-9879 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristiansson Roth Pc NPPES

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

KRISTIANSSON ROTH PC (NPI 1649503327) is a healthcare organization registered as a psychologist in Saint Marys, Georgia and active in the NPI registry since September 2009. The organization lists Kristiansson Roth, Doctor, as its authorized official.

NPPES Registry Identity

NPI1649503327
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameKRISTIANSSON ROTH PC
Location Address4445 HWY 40, SATURDAY PARK 503Saint Marys, GA 31558-4099
Mailing Address4445 Hwy 40, Saturday Park 503Saint Marys, GA 31558-4099
Organization SubpartNo
Authorized OfficialKristiansson RothDoctor · (912) 409-9879
Enumeration DateSeptember 11, 2009
NPI 1649503327 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 GA · PSY002706
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.
4445 HWY 40, Saint Marys, GA 31558

Other Identifiers 1

Medicaid118222317BGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Dentist (Periodontics)
4445 HWY 40, STE 405
SAINT MARYS, GA 31558
Family Medicine
4445 HWY 40
SAINT MARYS, GA 31558
Clinic/Center (Mental Health (Including Community Mental Health Center))
4445 HWY 40, SUITE 601
SAINT MARYS, GA 31558

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 Kristiansson Roth PC's NPI number?

The NPI number for Kristiansson Roth PC is 1649503327. It was assigned to this organization in the NPPES registry on September 11, 2009.

Where is Kristiansson Roth PC located?

Kristiansson Roth PC is located at 4445 Hwy 40 Saturday Park 503, Saint Marys, GA 31558. The listed phone number is (912) 409-9879.

What is Kristiansson Roth PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kristiansson Roth PC was last updated on September 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.