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ROTH NEUROPSYCHOLOGY & BEHAVIORAL HEALTH ASSOC
NPI 1679593040
Psychologist - Clinical in Johnson City, TN

Active since July 20, 2006
2333 KNOB CREEK RD, SUITE 11, JOHNSON CITY, TN 37604(423) 952-0500(423) 950-0005 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roth Neuropsychology & Behavioral Health Assoc NPPES

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

ROTH NEUROPSYCHOLOGY & BEHAVIORAL HEALTH ASSOC (NPI 1679593040) is a healthcare organization registered as a clinical in Johnson City, Tennessee and active in the NPI registry since July 2006. The organization lists Robert Eric Roth, Owner, as its authorized official.

NPPES Registry Identity

NPI1679593040
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameROBERT E ROTH PSYD
Location Address2333 KNOB CREEK RD, SUITE 11Johnson City, TN 37604-2007
Mailing Address2333 Knob Creek Rd, Suite 11Johnson City, TN 37604-2007 · (423) 952-0500 · Fax (423) 950-0005
Phone(423) 952-0500
Fax(423) 950-0005
Organization SubpartNo
Authorized OfficialRobert Eric RothOwner · (423) 952-0500
Enumeration DateJuly 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1679593040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
2333 KNOB CREEK RD, Johnson City, TN 37604
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Other Names 1

Doing Business AsRoth Neuropsychology & Behavioral Health Assoc

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roth Neuropsychology & Behavioral Health Assoc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Roth Neuropsychology & Behavioral Health Assoc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Robert Roth, PSYD
Clinical Psychologist
NPI 1992792519
2333 KNOB CREEK RD SUITE 11
Johnson City, TN 37604
(423) 952-0500
✔ PECOS✔ Accepts MedicareSame address
Leah Roth, MSW
Clinical Social Worker
NPI 1124015771
2333 KNOB CREEK RD SUITE 11
Johnson City, TN 37604
(423) 952-0500
✔ PECOS✔ Accepts MedicareSame address
Joseph Neumann, PH.D.
Clinical Psychologist
NPI 1194876490
401 E MAIN ST SUITE 4
Johnson City, TN 37601
(423) 283-4958
✔ PECOS✔ Accepts Medicare2.5 mi
Valerie Needham, PSY.D.
Clinical Psychologist
NPI 1275992661
9274 CORPORATE CIR
Manassas, VA 20110
(703) 496-7804
✔ PECOS✔ Accepts Medicare317 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Robert E Roth Psyd's NPI number?

The NPI number for Robert E Roth Psyd is 1679593040. It was assigned to this organization in the NPPES registry on July 20, 2006. The provider is doing business as Roth Neuropsychology & Behavioral Health Assoc.

Where is Robert E Roth Psyd located?

Robert E Roth Psyd is located at 2333 Knob Creek Rd Suite 11, Johnson City, TN 37604. The listed phone number is (423) 952-0500.

What is Robert E Roth Psyd's specialty?

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

Is Robert E Roth Psyd enrolled in Medicare?

Yes. Robert E Roth Psyd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert E Roth Psyd?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Robert E Roth Psyd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (3) and Clinical Social Worker (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert E Roth Psyd was last updated on August 22, 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.