Stacey Romick-Imig

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

405 Hunter St
Espanola, NM 87532-2656

Phone

(505) 367-3342

NPI assigned

Sep 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Espanola Public Schools

  • Local Education Agency (LEA)
  • Espanola, NM
  • NPI 1205988102
  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1053081711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HUNTER ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322656",
            "telephone_number": "505-367-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HUNTER ST",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322656",
            "telephone_number": "505-367-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMICK-IMIG",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racheal Romero
• Rachel Romero
• Rebecca Anne Romero, RN
• Tamara R Romero, NONE
• Xochitl Romero, PA-C
• Hannah Felice Rosacker
• Elena Roybal
• Juan Roybal I
• Derek Rugsaken, LPCC
• Robert Nathaniel Rush

• School Psychologist in Espanola, NM
• Providers in Espanola, NM by specialty
• School Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.