DR. JEFFREY DAVID ROTH MD
NPI 1396752721
Psychiatry & Neurology - Addiction Psychiatry in Chicago, IL
NPI Status: Active since August 01, 2006
Contact Information
25 E WASHINGTON ST
SUITE 1811
CHICAGO, IL
ZIP 60602
Phone: (312) 444-1041
Fax: (312) 444-1048
- Individual
- Male
- Psychiatry & Neurology
- Addiction Psychiatry
About JEFFREY ROTH
This page provides the complete NPI Profile along with additional information for Jeffrey Roth, a provider established in Chicago, Illinois with a medical specialization in Psychiatry & Neurology, focusing in addiction psychiatry . The healthcare provider is registered in the NPI registry with number 1396752721 assigned on August 2006. The practitioner's primary taxonomy code is 2084P0802X. The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1396752721
- Provider Name
- DR. JEFFREY DAVID ROTH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 25 E WASHINGTON ST SUITE 1811 CHICAGO, IL 60602
- Location Phone
- (312) 444-1041
- Location Fax
- (312) 444-1048
- Mailing Address
- 25 E WASHINGTON ST SUITE 1811 CHICAGO, IL 60602
- Mailing Phone
- (312) 444-1041
- Mailing Fax
- (312) 444-1048
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-01-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Addiction Psychiatry
- Taxonomy Code
- 2084P0802X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IL
- Taxonomy Description
- Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D89465 | MEDICARE UPIN (02) | IL | |
| 0031600526 | OTHER (01) | IL | BC/BS |
| 659830 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 7 | 5 | 2 | 7 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 14 | 5 | 4 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 4 + 5 + 4 + 7 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1396752721 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1447234752 | LESLIE SCHAFFER MD Individual | Neurological Surgery | 25 E WASHINGTON ST SUITE 1329 CHICAGO, IL 60602 (312) 704-0177 |
| 1902885916 | DR. ERIC JAMES KUNATH DDS Individual | Dentist (Endodontics) | 25 E WASHINGTON ST SUITE 1921 CHICAGO, IL 60602 (312) 782-8862 |
| 1912953712 | DR. COLMAN R KRAFF M.D. Individual | Ophthalmology | 25 E WASHINGTON ST SUITE 606 CHICAGO, IL 60602 (312) 444-1111 |
| 1265479026 | DR. WILLIAM LISSNER M.D. Individual | Ophthalmology | 25 E WASHINGTON ST SUITE 606 CHICAGO, IL 60602 (312) 444-1111 |
| 1336186014 | DR. MANUS C KRAFF M.D. Individual | Ophthalmology | 25 E WASHINGTON ST SUITE 606 CHICAGO, IL 60602 (312) 444-1111 |
| 1578579488 | DR. STEVEN KAHN D.D.S., O.M.S. Individual | Dentist (Oral and Maxillofacial Surgery) | 25 E WASHINGTON ST SUITE #1823 CHICAGO, IL 60602 (312) 269-0100 |
| 1447268537 | DR. RONALD ALFRED MOLINE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 25 E WASHINGTON ST SUITE # 1726 CHICAGO, IL 60602 (312) 346-4318 |
| 1710076039 | MR. PETER MCMENAMIN Individual | Physical Therapist (Orthopedic) | 25 E WASHINGTON ST 1310 CHICAGO, IL 60602 (312) 855-1711 |
| 1003905340 | RHELLA DOLETINA PT Individual | Physical Therapist (Orthopedic) | 25 E WASHINGTON ST SUITE 1310 CHICAGO, IL 60602 (312) 855-1711 |
| 1871662346 | DR. PATRICIA GILLERAN DDS Individual | Dentist | 25 E WASHINGTON ST SUITE 1101 CHICAGO, IL 60602 (312) 368-8771 |
| 1962572255 | DR. PHILLIP C MCDONNELL D.D.S. Individual | Dentist (General Practice) | 25 E WASHINGTON ST SUITE 2041 CHICAGO, IL 60602 (312) 236-9322 |
| 1043380348 | DR. STEVEN R POTASHNICK D.D.S. Individual | Dentist (General Practice) | 25 E WASHINGTON ST SUITE 2041 CHICAGO, IL 60602 (312) 236-9322 |
| 1821168105 | PHILLIP C. MCDONNELL, D.D.S., P.C. Organization | Dentist (General Practice) | 25 E WASHINGTON ST SUITE 2041 CHICAGO, IL 60602 (312) 236-9322 |
| 1417005109 | DR. NADINE BRODALA DDS, MS, DMD Individual | Dentist | 25 E WASHINGTON ST 1125 CHICAGO, IL 60602 (312) 641-2572 |
| 1033260864 | SANFORD L. BARR, D.D.S., LTD. Organization | Dentist (General Practice) | 25 E WASHINGTON ST SUITE 302 CHICAGO, IL 60602 (312) 372-4844 |
| 1871647065 | JOANNA BURG TORZEWSKI PH.D. Individual | Psychologist (Clinical) | 25 E WASHINGTON ST SUITE 1117 CHICAGO, IL 60602 (312) 863-6393 |
| 1962530196 | AUBRENE FIORE PT, DPT, CLT-LANA Individual | Physical Therapist | 25 E WASHINGTON ST 1310 CHICAGO, IL 60602 (312) 855-1711 |
| 1821120031 | DR. DANIEL F O'GRADY PH.D. Individual | Psychologist (Clinical) | 25 E WASHINGTON ST SUITE 1201 CHICAGO, IL 60602 (312) 984-0417 |
| 1073645206 | PSYCHOLOGICAL RESOURCES, LIMITED Organization | Psychologist (Clinical) | 25 E WASHINGTON ST SUITE 1201 CHICAGO, IL 60602 (312) 984-0417 |
| 1851417265 | DR. PANOREA TSILIMIGRAS DDS Individual | Dentist (General Practice) | 25 E WASHINGTON ST SUITE 2027 CHICAGO, IL 60602 (312) 920-9970 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396752721, enumerated in the NPI registry as an "individual" on August 01, 2006
The provider is located at 25 E Washington St Suite 1811 Chicago, Il 60602 and the phone number is (312) 444-1041
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0802X with a focus in Addiction Psychiatry
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.