ANDREA ROTH (NPI# 1568945301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568945301 |
| Entity Type | Individual |
| Full Name | ANDREA ROTH |
| Practice Address |
165 Main St Cortland NY 13045 |
| Mailing Address |
165 Main St Cortland NY 13045-3049 |
| Practice Telephone | 6077530234 |
| Practice Fax Number | 6077532086 |
| Mailing Telephone | 6077530234 |
| Mailing Fax Number | 6077530286 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
093814 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1336163963 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912413105 | Andrea Roth | Physical Therapist | 3120 Independence St, Cape Girardeau, MO 63703-5043 | 2017-12-26 |
| 1770919805 | Andrea Catherine Roth | Psychologist | 1156 N Broadway, Yonkers, NY 10701-1108 | 2013-09-20 |
| 1417232885 | Andrea Roth | Nurse Practitioner | 3500 W Slaughter Ln, Austin, TX 78749-4421 | 2011-10-18 |
| 1437147196 | Andrea Lynn Roth | Specialist/Technologist | 1001 E 17th St, Indiana University Athletics, Bloomington, IN 47408-1590 | 2005-10-07 |
| Street Address |
165 MAIN ST |
| City | CORTLAND |
| State | NY |
| Zip Code | 13045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210589 | Eva Pauline Grove | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-1304 | 2020-09-18 |
| 1295354496 | Michael Johnson | Peer Specialist | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-04-09 |
| 1619596822 | Alexandra Starmer | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-04-09 |
| 1104465517 | Charlotte Sweeney | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2020-01-02 |
| 1174162788 | Pamela Lynn Sanders | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-12-30 |
| 1629617634 | Allysan Loope | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-12-23 |
| 1265074876 | Alexandra Mikowski | Counselor | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-10-15 |
| 1649820457 | Christopher Hyde | Peer Specialist | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-13 |
| 1285283945 | Melissa Compton | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-05 |
| 1245889922 | Lisa Stoothoff | Student in an Organized Health Care Education/Training Program | 165 Main St, Ste A, Cortland, NY 13045-3049 | 2019-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783521 | Richie Wells Jr. | Student in an Organized Health Care Education/Training Program | Stratton Drive, Park Center Athletic Training Room, Cortland, NY 13045 | 2019-10-31 |
| 1518509504 | Paige Morrow | Occupational Therapist | 1710 Ny-13, Cortland, NY 13045 | 2019-10-11 |
| 1154972453 | Ayla Fialko | Acupuncturist | 17-29 Main Street, Suite Ll13, Cortland, NY 13045 | 2019-09-27 |
| 1043714330 | Denise Lynn Bushnell-lhommedieu | Licensed Practical Nurse | 11 Owego Street, Cortland, NY 13045 | 2018-03-21 |
| 1659817864 | Sarah Schmied | Registered Nurse | Cayuga Clinic At Kinney Drugs, 3666 Route 281, Cortland, NY 13045 | 2017-01-11 |
| 1457895278 | Mohammad Djafari Md | Physician Assistant | 15-17 Kennedy Parkway, Cortland, NY 13045 | 2016-12-13 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1295081149 | Sirgany Eyecare LLC | Eyewear Supplier (Equipment, not the service) | 992 State Rte 13, Cortland, NY 13045 | 2012-07-30 |
| 1205106879 | Mary Marcella Ray | Licensed Practical Nurse | 84 Greenbush St., Cortland, NY 13045 | 2012-01-12 |
| 1326318494 | Kimberly Rowland | Registered Nurse | 2824 Page Green Rd, Cortland, NY 13045 | 2012-01-06 |
| Find all providers in zip 13045 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437669959 | Susan Lynn Mcinvale | Counselor | 14 Banks St, Cortland, NY 13045-1104 | 2017-10-10 |
| 1952787137 | John Watson | Counselor | 151 N Aspen Dr, Cortland, IL 60112-4100 | 2015-08-10 |
| 1891180782 | Renee Pitts | Counselor | 3002 State Route 5 Ste A, Cortland, OH 44410-9202 | 2015-03-30 |
| 1295125060 | Laura K May | Counselor | 17 Main St., Cortland, NY 13045 | 2015-01-30 |
| 1467709170 | Blue Star Family Counseling Services, Inc. | Counselor | 2996 State Route 5, Suite B, Cortland, OH 44410-9201 | 2012-08-13 |
| 1376611590 | Antony Sebastion Papalia | Counselor | 16 Lamont Cir, Cortland, NY 13045-3502 | 2006-12-04 |
| 1295818649 | Patricia S. Wood I | Counselor | 55 Port Watson St, Cortland, NY 13045-3026 | 2006-10-21 |
| 1174124341 | Angela Helms | Counselor | 7 Clayton Ave, Cortland, NY 13045-2501 | 2020-11-04 |
| 1467981225 | Restoration Counseling, LLC | Counselor | 197 W Main St Ste D, Cortland, OH 44410-1460 | 2017-06-06 |
| 1710438882 | Rebecca Petrie | Counselor | 7 Clayton Ave, Cortland, NY 13045-2501 | 2016-10-24 |
| Find all providers in CORTLAND | ||||
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| 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.