DR. DAPHNA ROTH


Address: 57 Cedar Ln, Teaneck, NJ 07666-4444
Phone: 2012205452

DR. DAPHNA ROTH (NPI# 1477785251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477785251
Entity Type Individual
Full Name DR. DAPHNA ROTH
Credential PH.D.
Practice Address 57 Cedar Ln
Teaneck
NJ 07666-4444
Practice Telephone 2012205452
Mailing Telephone 2012205452
Enumeration Date 2009-08-13
Last Update Date 2009-08-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist 017516 NY Behavioral Health & Social Service Providers
Y 103G00000X Clinical Neuropsychologist 4643 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 57 CEDAR LN
City TEANECK
State NJ
Zip Code 07666-4444

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033120258 Elisabeth Constantine Counselor 57 Cedar Ln, Teaneck, NJ 07666-4444 2006-08-11
1225322233 Elisabeth Constantine, LLC Counselor 57 Cedar Ln, Teaneck, NJ 07666-4444 2011-06-07
1639320872 Erica K Balch Counselor 57 Cedar Ln, Teaneck, NJ 07666-4444 2008-10-07
1265655187 Abraham Givner Psychologist 57 Cedar Ln, Teaneck, NJ 07666-4444 2007-04-10

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and state

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1255981767 Brian Schopfer Clinical Neuropsychologist 792 Chimney Rock Rd Ste C, Martinsville, NJ 08836-2271 2019-09-17
1750866869 Anjuli Bodapati Clinical Neuropsychologist 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 2018-09-25
1619496908 Hilary F Murphy Clinical Neuropsychologist 1451 State Route 34 Ste 201, Wall Township, NJ 07727-1614 2017-09-18
1841653763 Andrew P Brown IIi Clinical Neuropsychologist 31 Clinton St, Newark, NJ 07102-3729 2016-03-29
1053789230 Lisa Hahn Clinical Neuropsychologist 916 Maple Ave, Newton, NJ 07860-4404 2015-09-04
1700264256 Barbara Lauer Listhaus, Psy. D., LLC Clinical Neuropsychologist 513 W Mount Pleasant Ave Ste 210, Livingston, NJ 07039-1721 2015-05-15
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1811304660 Mallory Seidman Clinical Neuropsychologist 16 Inness Pl, Montclair, NJ 07042-4923 2014-07-14
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Competitor

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City TEANECK
Zip Code 07666

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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