MARK R ROTH PHD, HSPP
NPI 1881638690
Psychologist - Clinical in Indianapolis, IN

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
333 N ALABAMA ST, SUITE 350, INDIANAPOLIS, IN 46204(317) 459-6755 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark R Roth Phd, Hspp NPPES

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

MARK R ROTH PHD, HSPP (NPI 1881638690) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (20010291) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1881638690
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMARK R ROTHCredential: PHD, HSPP
Location Address333 N ALABAMA ST, SUITE 350Indianapolis, IN 46204-2034
Mailing Address4000 W 106th St, Ste 125-125Carmel, IN 46032-7720 · (317) 459-6755
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJune 15, 2006
Last NPPES UpdateNovember 24, 2014
NPI 1881638690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IN · 20010291
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.

333 N ALABAMA ST, Indianapolis, IN 46204

Other Identifiers 3

Medicare PIN183380RRRRIN
Medicare UPINR83146IN
Medicaid200045300IN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mark R Roth Phd, Hspp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062586142
PECOS Enrollment IDI20080807000427
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Home Health
333 N ALABAMA ST, STE 353
INDIANAPOLIS, IN 46204
Prosthetic/Orthotic Supplier
333 N ALABAMA ST, SUITE 350
INDIANAPOLIS, IN 46204
Internal Medicine
333 N ALABAMA ST
INDIANAPOLIS, IN 46204
Hospice Care, Community Based
333 N ALABAMA ST
INDIANAPOLIS, IN 46204
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
333 N ALABAMA ST
INDIANAPOLIS, IN 46204
Social Worker (Clinical)
333 N ALABAMA ST, STE 350
INDIANAPOLIS, IN 46204
Community/Behavioral Health
333 N ALABAMA ST
INDIANAPOLIS, IN 46204
Psychologist
333 N ALABAMA ST
INDIANAPOLIS, IN 46204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881638690, enumerated as an "individual" on June 15, 2006.

The provider is located at 333 N ALABAMA ST SUITE 350 INDIANAPOLIS, IN 46204 and the phone number is (317) 459-6755.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.