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DR. PETER JOHN ROTHENBERG PH.D.
NPI 1972537678
Psychologist - Clinical in Northford, CT

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
53 LANES POND RD, NORTHFORD, CT 06472(203) 484-4432(203) 484-4707 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter John Rothenberg Ph.d. NPPES

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

DR. PETER JOHN ROTHENBERG PH.D. (NPI 1972537678) is an individual clinical provider in Northford, Connecticut, licensed in Connecticut (000526) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (1972).

NPPES Registry Identity

NPI1972537678
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PETER JOHN ROTHENBERGCredential: PH.D.
Location Address53 LANES POND RDNorthford, CT 06472-1125
Mailing Address53 Lanes Pond RdNorthford, CT 06472-1125 · (203) 484-4432 · Fax (203) 484-4707
Phone(203) 484-4432
Fax(203) 484-4707
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 1972
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1972537678 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 CT · 000526
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.
53 LANES POND RD, Northford, CT 06472
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Other Identifiers 1

Medicare UPIN060000526CT01CT

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. Peter John Rothenberg Ph.d. 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 ID1153500723
PECOS Enrollment IDI20110128000055
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06472 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Peter Rothenberg's NPI number?

The NPI number for Peter Rothenberg is 1972537678. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Peter Rothenberg located?

Peter Rothenberg practices at 53 Lanes Pond Rd, Northford, CT 06472. The listed phone number is (203) 484-4432.

What is Peter Rothenberg's specialty?

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

Is Peter Rothenberg enrolled in Medicare?

Yes. Peter Rothenberg 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 Peter Rothenberg was last updated on July 9, 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.