Active NPI
Rebecca U Romo, PSYD
- Clinical Psychologist
- Los Alamitos, CA
National Provider Identifier
1215090220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY17572
- Practice address
- 4281 Katella Ave
Suite 207
Los Alamitos, CA 90720-3500 - Phone
- (714) 226-9770
- Fax
- (714) 226-9776
- NPI assigned
- Dec 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY17572 | CA | Primary |
Addresses
Primary practice location
4281 Katella Ave
Suite 207
Los Alamitos, CA 90720-3500
Mailing address
PO Box 1405
Los Alamitos, CA 90720-1405
Phone (714) 226-9770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY17572 | CA | MD | Clinical Psychologist |
| 17572 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215090220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1405",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907201405",
"telephone_number": "714-226-9770",
"fax_number": "714-226-9776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4281 KATELLA AVE",
"address_2": "SUITE 207",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203500",
"telephone_number": "714-226-9770",
"fax_number": "714-226-9776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMO",
"first_name": "REBECCA",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY17572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.