Individual provider Active NPI

Wanda L Romero, PH.D.

  • Psychologist
  • Miami, FL
National Provider Identifier
1164536835
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5002 Issued in FL
Practice address
782 NW 42ND Ave Ste 334
Miami, FL 33126-5550
Phone
(305) 461-4684
Fax
(305) 461-4077
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5002 FL Primary
Clinical Psychologist 103TC0700X PY 5002 FL
Psychologist 103T00000X PY 5002 FL
Forensic Psychologist 103TF0200X PY 5002 FL
Clinical Child & Adolescent Psychologist 103TC2200X PY 5002 FL
Intellectual & Developmental Disabilities Psychologist 103TM1800X PY 5002 FL

Addresses

Primary practice location

782 NW 42ND Ave Ste 334
Miami, FL 33126-5550

Mailing address

10874 SW 89TH St
Miami, FL 33176-1364
Phone (305) 270-7440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000324 FL Practitioner - Clinical Psychologist 6901063304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10691 N Kendall Dr
Suite 305
Miami, FL 33176-1551
Phone (305) 461-4684

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY 5002FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
WR Psychological Services, P.a. Psychologist CurrentSince Dec 3, 1993 Accepting new patients

Locations

10691 SW 88th St
Ste 305
Miami, FL 33176
Phone (305) 461-4684

782 NW Le Jeune Rd
Ste 334
Miami, FL 33126
Phone (305) 461-4684

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1164536835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10874 SW 89TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761364",
            "telephone_number": "305-270-7440",
            "fax_number": "305-461-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE STE 334",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265550",
            "telephone_number": "305-461-4684",
            "fax_number": "305-461-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "WANDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5002",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 5002",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 5002",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY 5002",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY 5002",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "PY 5002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.