Active NPI
Amy Rachel Roman, M.S., CCC-SLP
- Speech-Language Pathologist
- Alameda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11696
- Practice address
- 1420 9TH St
Alameda, CA 94501-3410 - Phone
- (415) 518-0592
- NPI assigned
- Jul 23, 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11696 | CA | Primary |
Addresses
Primary practice location
1420 9TH St
Alameda, CA 94501-3410
Mailing address
1420 9TH St
Alameda, CA 94501-3410
Phone (415) 518-0592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3838 California St
San Francisco, CA 94118-1506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients |
Locations
795 El Camino Real
#1112
Palo Alto, CA 94301
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2324 Sacramento St
Ste 111
San Francisco, CA 94115
Phone (415) 600-3604
1100 Van Ness Ave
Fl 6
San Francisco, CA 94109
Phone (415) 600-3458
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1063677565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 9TH ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945013410",
"telephone_number": "415-518-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 9TH ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945013410",
"telephone_number": "415-518-0592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "AMY",
"middle_name": "RACHEL",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "11696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.