DR. KEITH ROEDER PSYD
NPI 1912932294
Psychologist in Middlesex, CT

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
300 PLAZA MIDDLESEX, 3RD FLOOR, MIDDLESEX, CT 06457(860) 347-9911(860) 347-8120 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. Keith Roeder Psyd NPPES

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

DR. KEITH ROEDER PSYD (NPI 1912932294) is an individual psychologist in Middlesex, Connecticut, licensed in Connecticut (1719) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1912932294
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KEITH ROEDERCredential: PSYD
Location Address300 PLAZA MIDDLESEX, 3RD FLOORMiddlesex, CT 06457
Mailing Address300 Plaza Middlesex, 3rd FloorMiddlesex, CT 06457 · (860) 347-9911 · Fax (860) 347-8120
Fax(860) 347-8120
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1912932294 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 CT · 1719
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.
300 PLAZA MIDDLESEX, Middlesex, CT 06457

Other Identifiers 9

Other060001719CT01Blue Cross
Other0567535Uhc
Other708160Magellan
Medicaid00414087800CT
Other157460Mhn
Other163070Value Options
OtherP664410Oxford
Other4257498CT · Aetna
Other1037571Cigna

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

Dr. Keith Roeder Psyd 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 ID547267361
PECOS Enrollment IDI20111117000247
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.

Other Providers at the Same Location NPPES 12

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

Psychologist
300 PLAZA MIDDLESEX, ROEDER & POLANSKY FAMILY ASSOCIATION
MIDDLETOWN, CT 06457
Nurse Practitioner (Psychiatric/Mental Health)
300 PLAZA MIDDLESEX
MIDDLETOWN, CT 06457
Psychologist
300 PLAZA MIDDLESEX, 3RD FLOOR
MIDDLETOWN, CT 06457
Social Worker
300 PLAZA MIDDLESEX, 3RD FLOOR
MIDDLETOWN, CT 06457
Psychologist
300 PLAZA MIDDLESEX, 3RD FLOOR
MIDDLETOWN, CT 06457
Community/Behavioral Health
300 PLAZA MIDDLESEX
MIDDLETOWN, CT 06457
Nurse Practitioner (Psychiatric/Mental Health)
300 PLAZA MIDDLESEX
MIDDLETOWN, CT 06457
Nurse Practitioner (Psychiatric/Mental Health)
300 PLAZA MIDDLESEX
MIDDLETOWN, CT 06457

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 Keith Roeder's NPI number?

The NPI number for Keith Roeder is 1912932294. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Keith Roeder located?

Keith Roeder practices at 300 Plaza Middlesex 3rd Floor, Middlesex, CT 06457. The listed phone number is (860) 347-9911.

What is Keith Roeder's specialty?

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

Is Keith Roeder enrolled in Medicare?

Yes. Keith Roeder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Keith Roeder 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.