Donald Norman Roth, PSY. D., APNP
NPI 1336224989ActiveIndividual· Psychologist, Clinical· Elm Grove, WI
Psychologist, Clinical (PSY. D., APNP) in Elm Grove, Wisconsin, licensed in WI, with an NPI issued in October 2006.
Overview
| NPI | 1336224989 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY. D., APNP |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Nov 30, 2022 |
| Certified by provider | Nov 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2724-57 | WI |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 7902-33 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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