DR. MICHAEL A ROMAN (NPI# 1255315693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255315693 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A ROMAN |
| Credential | PH.D. |
| Practice Address |
4242 Medical Dr #6150 San Antonio TX 78229-5640 |
| Practice Telephone | 2103421906 |
| Practice Fax Number | 2109491909 |
| Mailing Telephone | 2103421906 |
| Mailing Fax Number | 2109491909 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2016-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 24435 | TX | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 24435 | TX | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
24435 | TX | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
30235 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 110626202 | 05 | |
| TX | MAGELLAN BEHAVIORAL HEALT | 243539000 | 01 |
| TX | VALUE OPTIONS | 285657 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306202791 | Michael Edward Roman | Pharmacist | 1240 N 40th Dr, Show Low, AZ 85901-3236 | 2016-01-14 |
| 1982942959 | Michael Roman | Occupational Therapy Assistant | 13748 Comuna Dr, Poway, CA 92064-4639 | 2013-01-24 |
| 1073576849 | Michael Conrad Roman | Internal Medicine | 1550 W Main St, Jeffersonville, PA 19403-3228 | 2006-04-11 |
| 1013518075 | Michael Stephen Roman | Pharmacist | 2032 E Pleasant Valley Blvd, Altoona, PA 16602-7515 | 2020-11-05 |
| 1346745254 | Michael Roman | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2018-03-24 |
| Street Address |
4242 MEDICAL DR #6150 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-5640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255324083 | Vikram Kashyap | Psychiatry & Neurology | 4242 Medical Dr, Suite 6300, San Antonio, TX 78229-5640 | 2005-08-26 |
| 1407488752 | Sonia F. Rodulfo | Nurse Practitioner | 4242 Medical Dr, San Antonio, TX 78229-5640 | 2020-02-05 |
| 1295197051 | Healthpsych Consultants, Pllc | Psychologist | 4242 Medical Dr, Suite 7100, San Antonio, TX 78229-5640 | 2016-03-22 |
| 1689043390 | Jessica Fowler | Psychologist | 4242 Medical Dr, Ste 6150, San Antonio, TX 78229-5369 | 2015-09-23 |
| 1912328493 | Texas Prosthetic Center, Inc. | Prosthetic/Orthotic Supplier | 4242 Medical Dr, Ste 2100, San Antonio, TX 78229-5640 | 2013-12-30 |
| 1538405295 | Sophie Health Center | Acupuncturist | 4242 Medical Dr, Suite 7125, San Antonio, TX 78229-5640 | 2012-12-27 |
| 1174868681 | Jessica Ziaja Reed | Anesthesiology | 4242 Medical Dr, Suite 3100, San Antonio, TX 78229-5640 | 2012-12-10 |
| 1982968970 | Christina M. Mkhantar | Nurse Practitioner | 4242 Medical Dr, Suite 6250, San Antonio, TX 78229 | 2012-06-25 |
| 1285995761 | Daniel Corn | Anesthesiology | 4242 Medical Dr, Suite 3100, San Antonio, TX 78229-5640 | 2012-05-31 |
| 1881951945 | Lindsey Hart Bergman | Anesthesiology | 4242 Medical Dr, Suite 3100, San Antonio, TX 78229-5640 | 2012-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896947 | Jessica Graber | Psychologist | 600 N Loop 1604 E, San Antonio, TX 78232-1268 | 2020-03-17 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1275099509 | South Texas Behavioral Group, LLC | Psychologist | 403 S Ww White Rd Ste 218, San Antonio, TX 78219-4249 | 2019-02-12 |
| 1629550298 | Rebecca Stuth Specia | Psychologist | 3031 Knight Robin Dr, San Antonio, TX 78209-3510 | 2018-08-30 |
| 1689179731 | Erica Rosentraub Shapiro | Psychologist | 1314 E. Sonterra Blvd. Ste. 2208, San Antonio, TX 78258 | 2018-03-29 |
| 1841791845 | Vanessa Tugonon Chan | Psychologist | 7403 Tom Kite Ct, San Antonio, TX 78244-1586 | 2018-02-24 |
| 1841790722 | I Am Mind & Body Wellness Center, Pllc | Psychologist | 901 Ne Loop 410 Ste 508, San Antonio, TX 78209-1306 | 2018-02-16 |
| 1194236760 | Offices of Michael A Roman Phd | Psychologist | 4242 Medical Dr Ste 6150, San Antonio, TX 78229-5369 | 2017-10-23 |
| 1548785918 | Elizabeth A Toth | Psychologist | 9926 Tezel Rd, San Antonio, TX 78254-5520 | 2017-08-07 |
| 1851813323 | Stephanie Triana, Ph.d. LLC | Psychologist | 1848 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1566 | 2017-07-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.