NPI age
16 years
Enumerated 2009-09-11
● Active Type 2 · Organization
Kristiansson Roth Pc
Kristiansson Roth Pc is 1 of 1114 psychologist organizations in Georgia.
Primary specialty
Psychologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roth
Doctor
Last NPPES update
2009-09-11
Source: monthly bulk 2026-05
How this organization compares
Across 1114 active psychologist providers in Georgia.
NPI age
16 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-09Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
4445 Hwy 40, Saturday Park 503
Saint Marys, GA 315584099
Mailing address
4445 Hwy 40, Saturday Park 503
Saint Marys, GA 315584099
Authorized official
Kristiansson Roth, PHD
Doctor
📞 9124099879
Individual providers at this organization
1 individual provider on file at this primary practice address.
- John Ambrose, DDS Dentist NPI 1306811815
Specialties
-
Psychologist PrimaryA 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 118222317B |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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