June Mary Roman, MSN, RN, PMHCNS-BC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

RN172769L Issued in PA

Practice address

4508 Chestnut St
Philadelphia, PA 19139-3608

Phone

(267) 787-8245

NPI assigned

Jul 10, 2007

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

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.

• Elderly Care Counseling Services LLC

  • Group Psychotherapy Psychologist
  • Fort Washington, PA
  • NPI 1821196999
  NPD (past)
• Phoenix Therapy Services, LLC

  • Psychologist
  • Pittsburgh, PA
  • NPI 1245564285
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1083812044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 SHADELAND AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190262120",
            "telephone_number": "610-622-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393608",
            "telephone_number": "267-787-8245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Shadeland Ave",
            "address_purpose": "LOCATION",
            "city": "Drexel Hill",
            "state": "PA",
            "postal_code": "190262120",
            "country_code": "US",
            "telephone_number": "610-622-4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JUNE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "RN172769L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "june.roman@trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mercy LIFE West Philadelphia",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "272 Shadeland Ave",
            "city": "Drexel Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190262120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mercy.life.west.philadelphia@trinityhealthpa.medicity.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4508 Chestnut St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191393608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Doreen E Roman, P.A.
• Emiliz Roman
• Jahaira Roman, PMHNP
• Jennifer Susan Roman, CRNP
• John Peter Roman, O.D.
• Matthew Antoni Roman, M.D.
• Duane Romana, D.P.M
• Nicole Romanczuk, OTR/L
• Susan Kent Romann, PHARMD
• Augustine Romano

• Adult Psychiatric/Mental Health Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.