Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Roth, PHD

Individual provider Clinical Psychologist · NPI 1013055649

Andrew Roth, PHD is a Clinical Psychologist in Montclair, New Jersey. Qualified in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
31
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

55 Park St
Montclair, NJ 07042-3439
Phone: (973) 378-5641
Fax: (973) 762-0045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 35SI00375000 (NJ)

Record details

NPI number1013055649
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 4, 2007
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019
Mailing address24 Harrison Ct, South Orange, NJ 07079-2409

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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