Active NPI
Darla Wolgast Romano, MFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1003082942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT 20451
- Practice address
- 121 Clement St
San Francisco, CA 94118-2419 - Phone
- (415) 752-6775
- Fax
- (415) 668-5309
- NPI assigned
- Apr 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT 20451 | CA | Primary |
Addresses
Primary practice location
121 Clement St
San Francisco, CA 94118-2419
Mailing address
634 40TH Ave
San Francisco, CA 94121-2525
Phone (415) 751-7715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 17, 2024 through Aug 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 20451 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1003082942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 40TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941212525",
"telephone_number": "415-751-7715",
"fax_number": "415-668-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CLEMENT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182419",
"telephone_number": "415-752-6775",
"fax_number": "415-668-5309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANO",
"first_name": "DARLA",
"middle_name": "WOLGAST",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT 20451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.