Individual provider Active NPI

Justin Matthew Romano, MD

  • Psychiatry Physician
  • Cheyenne, WY
National Provider Identifier
1134614399
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
15736A Issued in WY
Practice address
2301 House Ave Ste 405
Cheyenne, WY 82001-3180
Phone
(307) 635-7961
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 15736A WY Primary
Psychiatry Physician 2084P0800X 8372 NE

Addresses

Primary practice location

2301 House Ave Ste 405
Cheyenne, WY 82001-3180

Mailing address

PO Box 20970
Cheyenne, WY 82003-7020
Phone (307) 634-2273

Other practice location 1

7710 Mercy Rd
Omaha, NE 68124-2372
Phone (402) 280-4195

Other practice location 2

4116 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-7961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726001253 WY Practitioner - Psychiatry 7517219785 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15736AWYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Regional Physicians Group, LLC CurrentSince Aug 14, 2023 Accepting new patients

Locations

2301 House Ave
Ste 405
Cheyenne, WY 82001
Phone (307) 635-7961

4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311

Organizations & group practices 1

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1134614399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20970",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820037020",
            "telephone_number": "307-634-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE STE 405",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013180",
            "telephone_number": "307-635-7961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7710 Mercy Rd",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681242372",
            "country_code": "US",
            "telephone_number": "402-280-4195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4116 Laramie St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820011969",
            "country_code": "US",
            "telephone_number": "307-635-7961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "15736A",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "8372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.