Keith Roeder is a Psychologist in Middlesex, Connecticut. Keith Roeder practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Keith Roeder is 1912932294. The last update date is 2007-07-08.
Keith Roeder's current location address is 300 Plaza Middlesex, Middlesex, Connecticut. You can contact this provider via phone number 8603479911 and fax number 8603478120. The mailing address for Keith Roeder is 300 Plaza Middlesex, Middlesex, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Roeder |
|---|---|
| Address | 300 Plaza Middlesex, Middlesex, Connecticut |
| Phone Number | 8603479911 |
| Fax Number | 8603478120 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1912932294 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 Plaza Middlesex |
|---|---|
| City | Middlesex |
| State | Connecticut (CT) |
| Post Code | 6457 |
| Phone Number | 8603479911 |
| Fax Number | 8603478120 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1719 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 060001719CT01 | BLUE CROSS | ||
| 163070 | VALUE OPTIONS | ||
| P664410 | OXFORD | ||
| 1037571 | CIGNA | ||
| 708160 | MAGELLAN | ||
| 157460 | MHN | ||
| 414087800 | CT | -- | |
| 567535 | UHC | ||
| 4257498 | CT | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Keith Roeder by the Centers for Medicare & Medicaid Services?
The Keith Roeder has been assigned the NPI (National Provider Identifier) 1912932294 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Keith Roeder is physically located?
The Keith Roeder is physically situated at the following address: 300 Plaza Middlesex, Middlesex, CT, 6457.
What is the Keith Roeder's area of specialization and corresponding taxonomy classification?
The Keith Roeder's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Keith Roeder receive its 1912932294 assignment from the Centers for Medicare & Medicaid Services?
The Keith Roeder was assigned its 1912932294 by the Centers for Medicare & Medicaid Services on 2006-07-12.
As of what date was the information regarding Keith Roeder, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith Roeder, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.