Individual provider Active NPI

Ingrid Roman, PSY.D

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1174957914
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8783 Issued in FL
Practice address
2030 S Douglas Rd Ste 215
Coral Gables, FL 33134-4620
Phone
(305) 661-5511
Fax
(305) 768-4600
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY8783 FL Primary
Behavior Analyst 103K00000X PY8783 FL
Speech-Language Pathologist 235Z00000X SZ12005 FL

Addresses

Primary practice location

2030 S Douglas Rd Ste 215
Coral Gables, FL 33134-4620

Mailing address

7950 W Flagler St
Ste 105
Miami, FL 33144-2206
Phone (305) 661-5511

Other practice location 1

900 W 49th St Ste 322
Hialeah, FL 33012-3407
Phone (786) 953-8244

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
I20140102001533 FL Practitioner - Clinical Psychologist 5799911053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SZ12005FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingrid Roman PSYD PA Psychologist CurrentSince Sep 4, 2013 Accepting new patients
Developmental Applied Behavior Solutions, Inc Behavior Analyst Current Accepting new patients

Locations

2030 S Douglas Rd
Ste 215
Coral Gables, FL 33134
Phone (305) 661-5511

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

899 NW 4th St
Miami, FL 33128
Phone (305) 326-1236

7950 W Flagler St
Ste 105
Miami, FL 33144
Phone (305) 263-9066

Organizations & group practices 2

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1174957914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 W FLAGLER ST",
            "address_2": "STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442206",
            "telephone_number": "305-661-5511",
            "fax_number": "305-768-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S DOUGLAS RD STE 215",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344620",
            "telephone_number": "305-661-5511",
            "fax_number": "305-768-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 W 49th St Ste 322",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123407",
            "country_code": "US",
            "telephone_number": "786-953-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "INGRID",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8783",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "PY8783",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.