DR. MARIALBA ROMERO MEDINA (NPI# 1407040173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407040173 |
| Entity Type | Individual |
| Full Name | DR. MARIALBA ROMERO MEDINA |
| Other Name | DR. MARIALBA ROMERO MEDINA |
| Credential | M.D. |
| Practice Address |
1001 S Raisinville Rd Monroe MI 48161 |
| Mailing Address |
Reparto Apolo Pp9 Calle Artemisa Guaynabo PR 00969 |
| Practice Telephone | 8008867340 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 11808 I | PR | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
4301114454 | MI | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
17882 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
1001 S RAISINVILLE RD |
| City | MONROE |
| State | MI |
| Zip Code | 48161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174549190 | Jennifer Lynn Westfal | Psychologist | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2006-07-14 |
| 1861001521 | Brandi Mccadney | Social Worker | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2020-07-29 |
| 1861001604 | Amanda Morrison | Social Worker | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2020-07-28 |
| 1780293589 | Stephanie Woodruff | Social Worker | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2020-07-28 |
| 1861001893 | Joanne Mclaughlin | Social Worker | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2020-07-27 |
| 1447886023 | Amy Barr | Social Worker | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2020-03-16 |
| 1598391179 | Daniel Stone | Social Worker | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2020-03-16 |
| 1427680925 | Kalah Parran | Social Worker | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2020-02-12 |
| 1821628454 | Leah Logan | Social Worker | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2020-01-23 |
| 1114557907 | Dayna Root | Psychologist | 1001 S Raisinville Rd, Monroe, MI 48161-9754 | 2020-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164980967 | James Abrams | Behavior Technician | 2086 South Custer Road, Monroe, MI 48161 | 2019-03-11 |
| 1457841504 | Teresa Anne Clark-jones | Health Educator | Msu Extension Monroe County, 963 S. Raisinville Rd., Monroe, MI 48161 | 2018-05-15 |
| 1174045215 | Ariane E Combs | Counselor | 25 S. Monroe Street, Suite 205, Monroe, MI 48161 | 2017-07-11 |
| 1518341650 | Jennifer Statler | Physical Therapist | 1380 Lake Dr, Unit B, Monroe, MI 48161 | 2015-07-18 |
| 1811376742 | Rainbow Center of Michigan, Inc | Community/Behavioral Health | 14733 S. Telegraph Rd, Monroe, MI 48161 | 2015-05-26 |
| 1356743371 | Samantha Rose Dehring | Counselor | Recovery Zone Counseling, Pllc, 49 South Monroe St. (suite# 175), Monroe, MI 48161 | 2014-09-22 |
| 1598105074 | Busharat Ahmad | Ophthalmology | 774 Windsor Court, Monroe, MI 48161 | 2013-06-28 |
| 1225371032 | Anissa Castelluzzo | Nurse Practitioner | 975 S Monroe St Ste C, Monroe, MI 48161 | 2013-03-29 |
| 1811256274 | Paul Mikels Lmsw LLC | Social Worker | 986 S. Telegraph Rd, Monroe, MI 48161 | 2012-05-04 |
| 1225306798 | Paula Stanifer | Counselor | 14930 Laplaisance Rd #123, Monroe, MI 48161 | 2011-12-12 |
| Find all providers in zip 48161 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528269941 | Leigh T Liles | Psychiatry & Neurology | 1818 Avenue of America, Monroe, LA 71201-4530 | 2007-05-31 |
| 1033305941 | Chirag G. Shah | Psychiatry & Neurology | 515 22nd Ave, Monroe, WI 53566-1569 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316376056 | Esmaeil Emami | Psychiatry & Neurology | 2955 Franklin Rd, Bloomfield Hills, MI 48302-0917 | 2013-11-04 |
| 1154760312 | Samantha Fugate Kennedy | Psychiatry & Neurology | 909 Fee Rd Ste B119, East Lansing, MI 48824 | 2013-06-21 |
| 1407199961 | David Donald Krohn | Psychiatry & Neurology | 563 Highland Park Dr, Traverse City, MI 49686-2863 | 2013-04-03 |
| 1164712055 | Tatjana Maric | Psychiatry & Neurology | 420 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 | 2011-04-12 |
| 1972893824 | Katherine Barbara Krive | Psychiatry & Neurology | 801 S Waverly Rd Ste 100, Lansing, MI 48917-4200 | 2011-04-12 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1295056653 | Veronica Yap Tan | Psychiatry & Neurology | 23354 Portage Way, Apt. 2212, Novi, MI 48375 | 2010-06-18 |
| 1548588874 | Katie Alanna Keller | Psychiatry & Neurology | 79 Alexandrine West, Detroit, MI 48201 | 2010-05-11 |
| 1538390133 | Behavioral Health Associates Pllc | Psychiatry & Neurology | 19500 Middlebelt Rd, Suite 350e, Livonia, MI 48152-2196 | 2009-07-30 |
| 1235375775 | Kristine Baker | Psychiatry & Neurology | 721 Cherokee St, Traverse City, MI 49684-1401 | 2009-01-06 |
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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.