OrganizationActive
Roth Family Medicine and Mental Health
NPI 1134077357 · Clinic/Center · Pocatello, ID
Roth Family Medicine and Mental Health is a Clinic/Center organization in Pocatello, ID (NPI 1134077357).
Provider details
- NPI number
- 1134077357
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kyle Roth, Nurse Practitioner(510) 502-9455
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2890 Ridgeview Ln
Pocatello, ID 83204-7291
Phone: (510) 502-9455
Street-level locationGet directions
Mailing address
2890 Ridgeview Ln
Pocatello, ID 83204-7291
Registry dates
- Enumerated
- 2026-03-21
- Last updated
- 2026-03-21
- Certified
- 2026-03-21
Frequently asked questions
- What is Roth Family Medicine and Mental Health's NPI number?
- Roth Family Medicine and Mental Health's National Provider Identifier (NPI) is 1134077357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roth Family Medicine and Mental Health?
- Roth Family Medicine and Mental Health is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Roth Family Medicine and Mental Health located?
- Roth Family Medicine and Mental Health's practice location on file with NPPES is 2890 Ridgeview Ln, Pocatello, ID 83204-7291.
- What is Roth Family Medicine and Mental Health's phone number?
- The practice phone number listed in the NPPES registry for Roth Family Medicine and Mental Health is (510) 502-9455.
- Who is the authorized official for Roth Family Medicine and Mental Health?
- The authorized official listed on Roth Family Medicine and Mental Health's NPPES record is Kyle Roth, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roth Family Medicine and Mental Health's NPI active?
- Yes — Roth Family Medicine and Mental Health's NPI (1134077357) is active in the NPPES registry as of the last update on 2026-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.