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

Dr. Jacob B. Roth, PHD

Individual provider Psychologist · NPI 1326080730

Dr. Jacob B. Roth, PHD is a Clinical Psychologist in Crofton, Maryland. Qualified in 1977, 49 years ago. Offers telehealth. Licensed in Maryland.

Years since qualifying
49
Licensed in
MD
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

2110 Priest Bridge Dr Ste 4
Crofton, MD 21114-2472
Phone: (301) 858-9880
Fax: (410) 721-2895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1194 (MD)

Record details

NPI number1326080730
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 11, 2006
Last updated in NPPESJune 3, 2014
Mailing address2110 Priest Bridge Dr, Suite 4, Crofton, MD 21114-2472

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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