Active NPI
Leslie A. Roman, PHD
- Psychologist
- Santa Clarita, CA
National Provider Identifier
1235249699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 14626
- Practice address
- 23300 Cinema Drive
2908
Santa Clarita, CA 91355 - Phone
- (661) 250-3323
- Fax
- (661) 250-3323
- NPI assigned
- Aug 30, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 14626 | CA | Primary |
Addresses
Primary practice location
23300 Cinema Drive
2908
Santa Clarita, CA 91355
Mailing address
19197 Golden Valley Road
338
Santa Clarita, CA 91387-1428
Phone (661) 250-3323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 14626 | CA | MD | Psychologist |
| 14626 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Respectful Home Health Care, Inc | Past | Accepting new patients |
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.
-
- Home Health Agency
- Santa Clarita, CA
- NPI 1235848326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1235249699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19197 GOLDEN VALLEY ROAD",
"address_2": "338",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913871428",
"telephone_number": "661-250-3323",
"fax_number": "661-250-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23300 CINEMA DRIVE",
"address_2": "2908",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "91355",
"telephone_number": "661-250-3323",
"fax_number": "661-250-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "LESLIE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 14626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.