Organization Active NPI

Marc J Romano, Psy.D., Inc.

  • Clinical Psychologist
  • Wilton Manors, FL
National Provider Identifier
1366611998
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5846 Issued in FL
Legal business name
MARC J ROMANO, PSY.D., INC.
Practice address
1881 NE 26TH St
Wilton Manors, FL 33305-1416
Phone
(954) 296-9464
Fax
(954) 567-1436
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Marc Joseph Romano, PSY.D.
Title
Psychologist
Phone
(954) 296-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 5846 FL Primary

Addresses

Primary practice location

1881 NE 26TH St
Wilton Manors, FL 33305-1416

Mailing address

PO Box 70516
Fort Lauderdale, FL 33307-0516
Phone (954) 296-9464

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1366611998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70516",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333070516",
            "telephone_number": "954-296-9464",
            "fax_number": "954-567-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051416",
            "telephone_number": "954-296-9464",
            "fax_number": "954-567-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC J ROMANO, PSY.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-296-9464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "5846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.