Keith A Roeder (NPI# 1912932294, PAC ID# 0547267361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1912932294 |
| PAC ID by PECOS | 0547267361 |
| Professional Enrollment ID | I20111117000247 |
| Full Name | Keith A Roeder |
| Organization Legal Name | ROEDER AND POLANSKY FAMILY AND CHILD ASSOCIATES |
| Address |
300 Plaza Middlesex Suite 3 Middletown CT 06457-3456 |
| Phone Number | 8603479911 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 2466459284 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 300 Plaza Middlesex, Suite 3, Middletown, CT 06457-3456 | 8603479911 | ROEDER AND POLANSKY FAMILY AND CHILD ASSOCIATES |
| Organization Legal Name | ROEDER AND POLANSKY FAMILY AND CHILD ASSOCIATES |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dina N Weis | Clinical Psychologist | Roeder and Polansky Family and Child Associates | 300 Plaza Middlesex, Suite 3, Middletown, CT 06457-3456 |
| George V Moore | Clinical Social Worker | Roeder and Polansky Family and Child Associates | 300 Plaza Middlesex, Suite 3, Middletown, CT 06457-3456 |
| Street Address |
300 PLAZA MIDDLESEX SUITE 3 |
| City | MIDDLETOWN |
| State | CT |
| Zip | 06457-3456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald B Polansky | Clinical Social Worker | 300 Plaza Middlesex, Suite 3, Middletown, CT 06457-3456 | |
| Dina N Weis | Clinical Psychologist | Roeder and Polansky Family and Child Associates | 300 Plaza Middlesex, Suite 3, Middletown, CT 06457-3456 |
| George V Moore | Clinical Social Worker | Roeder and Polansky Family and Child Associates | 300 Plaza Middlesex, Suite 3, Middletown, CT 06457-3456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lewis R Labbadia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Candito C Carroccia | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| William F Weiss | Chiropractic | Labbadia Carroccia Chiropractic Offices PC | 909 Newfield St, Middletown, CT 06457-1817 |
| Janet S Shapiro-weiss | Psychiatry | 7 Spring St, Middletown, CT 06457-2238 | |
| Paige Abby Mcmullen | Clinical Social Worker | 136 Lincoln St, Middletown, CT 06457-2641 | |
| Tiffany T Perri | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jola Rzegocki | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Jenny Y Cha | Optometry | Oculus, LLC | 460 Main St, Middletown, CT 06457-2855 |
| Michael Vajda | Chiropractic | 761 Washington St, Middletown, CT 06457-2903 | |
| Jyoti Mittal | Physician Assistant | Mhs Primary Care, Inc | 896 Washington St, Middletown, CT 06457-2912 |
| Find all physicians in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | MIDDLETOWN + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Keith A Roeder.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.