DR. JUDITH SHARON ROTH PHD
NPI 1861617862
Psychologist in New York, NY

Active since April 16, 2007Opted out of Medicare · through Mar 14, 2028
420 W END AVE, NEW YORK, NY 10024(212) 877-8138 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. Judith Sharon Roth Phd NPPES

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

DR. JUDITH SHARON ROTH PHD (NPI 1861617862) is an individual psychologist in New York, New York, licensed in New York (011385-1) and active in the NPI registry since April 2007. She has opted out of Medicare through March 14, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861617862
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JUDITH SHARON ROTHCredential: PHD
Location Address420 W END AVENew York, NY 10024-5708
Mailing Address460 Riverside Dr # 112New York, NY 10027-6821 · (212) 877-8138
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1861617862 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 NY · 011385-1
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.
420 W END AVE, New York, NY 10024

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. Judith Sharon Roth Phd 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 March 14, 2018 through March 14, 2028.

Opt-Out Effective DateMarch 14, 2018
Opt-Out In Effect ThroughMarch 14, 2028Opt-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 7

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

Psychologist
420 W END AVE, SUITE 1A
NEW YORK, NY 10024
Psychologist
420 W END AVE, SUITE A
NEW YORK, NY 10024
Psychiatry & Neurology (Psychiatry)
420 W END AVE
NEW YORK, NY 10024
Counselor (Mental Health)
420 W END AVE, SUITE 7
NEW YORK, NY 10024
Psychologist (Counseling)
420 W END AVE, SUITE 1A
NEW YORK, NY 10024
Social Worker (Clinical)
420 W END AVE, SUITE 1A
NEW YORK, NY 10024
Psychologist (Psychoanalysis)
420 W END AVE
NEW YORK, NY 10024

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 Judith Roth's NPI number?

The NPI number for Judith Roth is 1861617862. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Judith Roth located?

Judith Roth practices at 420 W End Ave, New York, NY 10024. The listed phone number is (212) 877-8138.

What is Judith Roth's specialty?

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

Is Judith Roth enrolled in Medicare?

No. Judith Roth has opted out of Medicare through March 14, 2028. 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 Judith 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.