James E. Roembke Jr., PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

03421 Issued in MD

Practice address

116 Record St
Frederick, MD 21701-5418

Phone

(301) 620-8700

Fax

(301) 620-8710

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• James Roembke Jr PSYD LLC

  • Clinical Psychologist
  • Frederick, MD
  • NPI 1720785207
  Medicare reassignment NPD Authorized official
• Margie Brubaker LLC

  • Community/Behavioral Health Agency
  • Frederick, MD
  • NPI 1922883669
  NPD (past)
• Marshall E. Tarzy & Christine a. Kurkoski D.P.M., P.a.

  • Podiatrist
  • Frederick, MD
  • NPI 1942324595
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1285756767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 RECORD ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015418",
            "telephone_number": "301-620-8700",
            "fax_number": "301-620-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 RECORD ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015418",
            "telephone_number": "301-620-8700",
            "fax_number": "301-620-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEMBKE",
        "first_name": "JAMES",
        "middle_name": "E.",
        "name_suffix": "Jr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03421",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03421",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "03421",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MD",
            "license": "03421",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "MD",
            "license": "03421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Jay Robison, D.D.S., M.S.
• Sarah Elizabeth Robles, WHNP
• Leeann Marie Rock, M.D.
• Barbara Lynn Roddy
• Deborah Rodriguez-Gummo
• McKenzie Roenick
• Anne Roessler, LCSW-C
• Christina Elizabeth Roethle
• Deborah H. Rogan, RN
• Kathleen Rogers-Senuta, PHD; LCPC; SEP

• Psychologist in Frederick, MD
• Providers in Frederick, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.