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

Individual provider Clinical Psychologist · NPI 1881638690

Mark R Roth, PHD, HSPP is a Clinical Psychologist in Indianapolis, Indiana. Qualified in 1976, 50 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
50
Licensed in
IN
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.

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Practice location Address checks out

333 N Alabama St Ste 350
Indianapolis, IN 46204-2034
Phone: (317) 459-6755
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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 20010291 (IN)

Record details

NPI number1881638690
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , HSPP
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESNovember 24, 2014

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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