Offices of Michael a Roman PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

OFFICES OF MICHAEL A ROMAN PHD

Practice address

4242 Medical Dr Ste 7100
San Antonio, TX 78229-5397

Phone

(210) 342-1906

Fax

(210) 570-8203

NPI assigned

Oct 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Roman, PH.D.NPI 1255315693

Title

Owner

Phone

(210) 342-1906

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A Roman, PH.D.

  • Clinical Neuropsychologist
  • San Antonio, TX
  • NPI 1255315693
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Fowler, PSY.D.

  • Psychologist
  • San Antonio, TX
  • NPI 1689043390
  Medicare reassignment Care Compare group NPD
• Nancy Amodei, PHD

  • Psychologist
  • San Antonio, TX
  • NPI 1053323014
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718496000000",
    "number": "1194236760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 7100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295397",
            "telephone_number": "210-342-1906",
            "fax_number": "210-634-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 7100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295397",
            "telephone_number": "210-342-1906",
            "fax_number": "210-570-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICES OF MICHAEL A ROMAN PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-342-1906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24435",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James David Oei, DDS
• Thomas O Oei, MD
• Vernita Oes, RN
• Michelle Oetjens, FNP
• Judith Oetting
• Angela Marie Garza Offoegbu, O.D.
• Kennedy Offoegbu, PHARM D
• Michael Edmund Offutt, MD
• William Robert Offutt III
• Justina Chika Ofoegbu

• Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.