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

Dr. Robert Eric Roth, PSYD

Individual provider Psychologist · NPI 1992792519

Dr. Robert Eric Roth, PSYD is a Clinical Psychologist in Johnson City, Tennessee. Qualified in 1996, 30 years ago. Practices with Robert E Roth PSYD, a 4-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
30
Licensed in
TN
In the registry since
2005
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2333 Knob Creek Rd Ste 11
Johnson City, TN 37604-2007
Phone: (423) 952-0500
Fax: (423) 952-0005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2177 (TN)

Record details

NPI number1992792519
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 29, 2005
Last updated in NPPESJuly 8, 2007
Mailing address2333 Knob Creek Rd, Suite 11, Johnson City, TN 37604-2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Robert E Roth Psyd — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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