Active NPI
Justin Matthew Romano, MD
- Psychiatry Physician
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15736A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15736A | WY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheyenne Regional Physicians Group, LLC | Current | 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.
-
dba Cheyenne Regional Medical Group, LLC
- Medical Oncology Physician
- Cheyenne, WY
- NPI 1659458008
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.