DR. SAMUEL J ROTH PHD
NPI 1992866735
Psychologist in Grand Rapids, MI

Active since December 13, 2006
1550 EAST BELTLINE SE, SUITE 340, GRAND RAPIDS, MI 49506(616) 831-2000(616) 831-2001 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. Samuel J Roth Phd NPPES

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

DR. SAMUEL J ROTH PHD (NPI 1992866735) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (6301006951) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1992866735
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SAMUEL J ROTHCredential: PHD
Location Address1550 EAST BELTLINE SE, SUITE 340Grand Rapids, MI 49506
Mailing Address1550 East Beltline Se, Suite 340Grand Rapids, MI 49506 · (616) 831-2000 · Fax (616) 831-2001
Fax(616) 831-2001
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1992866735 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 MI · 6301006951
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.
1550 EAST BELTLINE SE, Grand Rapids, MI 49506

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 Samuel Roth's NPI number?

The NPI number for Samuel Roth is 1992866735. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Samuel Roth located?

Samuel Roth practices at 1550 East Beltline SE Suite 340, Grand Rapids, MI 49506. The listed phone number is (616) 831-2000.

What is Samuel Roth's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel 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.