Individual provider Active NPI

Roberto Gabriel Romandia, ED.D., IABMCP

  • Psychologist
  • Porterville, CA
National Provider Identifier
1326394073
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
CALIF. BBS, LEP 2361 Issued in CA
Practice address
2142 W Cheryll CT
Porterville, CA 93257-7501
Phone
(559) 784-8095
NPI assigned
Jul 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X CALIF. BBS, LEP 2361 CA Primary

Addresses

Primary practice location

2142 W Cheryll CT
Porterville, CA 93257-7501

Mailing address

1279 W Henderson Ave
PMB # 267
Porterville, CA 93257-1454
Phone (559) 202-9643

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CALIF. BBS, LEP 2361CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1326394073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 W HENDERSON AVE",
            "address_2": "PMB # 267",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571454",
            "telephone_number": "559-202-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 W CHERYLL CT",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932577501",
            "telephone_number": "559-784-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANDIA",
        "first_name": "ROBERTO",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "ED.D., IABMCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "CALIF. BBS, LEP 2361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.