Individual provider Active NPI

Jahaira Roman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1013878651
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP033599 Issued in PA
Practice address
1500 Chestnut St Ste 2
Philadelphia, PA 19102-2700
Phone
(856) 475-8362
NPI assigned
Nov 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X SP033599 PA Primary

Addresses

Primary practice location

1500 Chestnut St Ste 2
Philadelphia, PA 19102-2700

Mailing address

610 Old York Rd.
Ste 400
Jenkintown, PA 19046-2601
Phone (856) 475-8362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216003168 PA Practitioner - Nurse Practitioner 0547755647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1811 Bethlehem Pike
Unit A102
Flourtown, PA 19031-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP033599PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enspire Consulting Group-Fort Washington LLC Single Specialty CurrentSince Nov 8, 2025 Accepting new patients
Rome Behavioral Health & Wellness, PLLC Single Specialty Current Accepting new patients

Locations

1811 Bethlehem Pike
Unit A102
Flourtown, PA 19031
Phone (214) 845-5869

610 York Rd
Ste 400
Jenkintown, PA 19046
Phone (267) 481-4023

1500 Chestnut St
Ste 2
Philadelphia, PA 19102
Phone (480) 521-5289

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1013878651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 OLD YORK RD.",
            "address_2": "STE 400",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462601",
            "telephone_number": "856-475-8362",
            "fax_number": "215-267-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CHESTNUT ST STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022700",
            "telephone_number": "856-475-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JAHAIRA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-22",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP033599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.