Active NPI
Nilka Z Rosado Roman, PSYD
- Counseling Psychologist
- San Sebastian, PR
National Provider Identifier
1306629472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6137
- Practice address
- 120 Calle Pavia Fernandez
San Sebastian, PR 00685-2285 - Phone
- (787) 231-9405
- NPI assigned
- Aug 14, 2023
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6137 | PR | Primary |
Addresses
Primary practice location
120 Calle Pavia Fernandez
San Sebastian, PR 00685-2285
Mailing address
HC 2 Box 21519
San Sebastian, PR 00685-2285
Phone (787) 231-9405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39521700 | Medicaid | PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231101003441 | PR | Practitioner - Psychologist Billing Independently | 1052767662 | Practice locations: San Sebastian, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1306629472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 21519",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006852285",
"telephone_number": "787-231-9405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CALLE PAVIA FERNANDEZ",
"city": "SAN SEBASTIAN",
"state": "PR",
"postal_code": "006852285",
"telephone_number": "787-231-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO ROMAN",
"first_name": "NILKA",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "6137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39521700",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Sebastian, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.