Mary J. Roman, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS009123L Issued in PA

Practice address

56 Erford Rd
Camp Hill, PA 17011-2304

Phone

(717) 901-9280

Fax

(717) 909-1288

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 15, 2021 through Jan 15, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Developmental Neuropsychology Services

  • Specialist
  • Harrisburg, PA
  • NPI 1023218088
  NPD (past) Authorized official
• Family Development Services, P.C.

  • Clinical Neuropsychologist
  • Camp Hill, PA
  • NPI 1114134905
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285704825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W AREBA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332204",
            "telephone_number": "717-533-5549",
            "fax_number": "717-533-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112304",
            "telephone_number": "717-901-9280",
            "fax_number": "717-909-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "MARY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS009123L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Rogers, PA-C
• Lindsey N Rohrbach, PA-C
• Sharatkumar Rokkam, MD
• Rolando a. Casal, M.D., Fapwca
• William A Rolle Jr., MD
• Angelina Loren Romano, LCSW
• Root to Rise Counseling LLC
• India Rosado, RN
• Rosalie Baker Lambeth & Associates LLC
• Emilie Rosanvallon, RN

• Clinical Neuropsychologist in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.