MR. RICHARD HENRY ROTH (NPI# 1477790608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477790608 |
| Entity Type | Individual |
| Full Name | MR. RICHARD HENRY ROTH |
| Credential | MA, MSW |
| Practice Address |
2520 Elizabeth Lake Rd Waterford MI 48328-3312 |
| Mailing Address |
22900 Remick Dr Clinton Township MI 48036-2732 |
| Practice Telephone | 2487065041 |
| Practice Fax Number | 2487065046 |
| Mailing Telephone | 5867834802 |
| Mailing Fax Number | 5867834805 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
500343 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508916230 | Richard Charles Roth | Chiropractor | 655 Camino De Los Mares Ste 121, San Clemente, CA 92673-2809 | 2007-01-12 |
| 1588744403 | Richard Walter Roth | Optometrist | 4441 Se Woodstock Blvd, Portland, OR 97206-6271 | 2006-10-16 |
| 1366449977 | Richard E Roth | Ophthalmology | 703 Rutter Ave, Kingston, PA 18704-4801 | 2005-06-29 |
| 1497758098 | Richard Lee Roth | Psychiatry & Neurology | 6845 Elm St, Ste 210, Mc Lean, VA 22101-3822 | 2005-05-27 |
| 1962977769 | Richard M Roth | Social Worker | 1501 Sulgrave Ave, Baltimore, MD 21209-3654 | 2018-10-08 |
| 1295196129 | Richard Roth | Pharmacist | 519 Boston Post Rd, Old Saybrook, CT 06475-1526 | 2016-03-20 |
| 1891832374 | Richard J. Roth | Pharmacist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-01-31 |
| 1578634499 | Richard M. Roth | Allergy & Immunology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| 1417979691 | Richard L Roth | Internal Medicine | 222 Route 59, Suite 302, Suffern, NY 10901-5204 | 2006-07-24 |
| 1215965777 | Richard Daniel Roth | Dentist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2006-06-30 |
| Street Address |
2520 ELIZABETH LAKE RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629253422 | Ronald Edward Dziurlikowski | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2007-12-31 |
| 1659728384 | Samuel Craig | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2016-05-23 |
| 1124377403 | Worry Free Counseling | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2012-09-03 |
| 1871740068 | Maureen Barrett Perko | Social Worker | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2008-08-19 |
| 1982874889 | Gloria Cousins | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1104286046 | Kathryn Joanne Brown | Counselor | 1370 N Oakland Blvd Ste 105, Waterford, MI 48327-1572 | 2016-03-04 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| 1790191690 | Therese Anne Dumas | Counselor | 1255 North Oakland Blvd, Waterford, MI 48327 | 2014-07-11 |
| 1992092811 | Jennifer Rae Hurst | Counselor | 1255 N Oakland Blvd Ste 100, Waterford, MI 48327-1578 | 2011-06-29 |
| 1629253422 | Ronald Edward Dziurlikowski | Counselor | 2520 Elizabeth Lake Rd, Waterford, MI 48328-3312 | 2007-12-31 |
| 1477737674 | Christine Joan Humphrey | Counselor | 1435 N. Oakland Blvd., Waterford, MI 48327 | 2007-12-24 |
| 1275743650 | Shania S Alexander | Counselor | 1255 N. Oakland Blvd, Waterford, MI 48327 | 2007-05-23 |
| 1467577510 | Lisa Ann Page | Counselor | 3720 Elizabeth Lake Rd, Waterford, MI 48328-3014 | 2007-03-20 |
| Find all providers in WATERFORD | ||||
Please comment or provide details below to improve the information on MR. RICHARD HENRY ROTH.
| 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.