Active NPI
Wanda L Romero, PH.D.
- Psychologist
- Miami, FL
National Provider Identifier
1164536835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY5002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY 5002 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WR Psychological Services, P.a. | Psychologist | Current | 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.
-
- Psychologist
- Miami, FL
- NPI 1477823862
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.
- 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.