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Brandon P Romano PSYD & Associates

Organization Active NPI Clinical Psychologist · Baton Rouge, LA

NPI 1396973392 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1396973392
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Psychologist 103TC0700X
License
977 (LA)
Legal business name
BRANDON P ROMANO PSYD & ASSOCIATES
Practice address
10211 Siegen LN Ste 2a
Baton Rouge, LA 70810-4988
Phone
(225) 769-2533
Fax
(225) 769-2441
NPI assigned
Jun 29, 2009
Organization subpart
No

Authorized official

Name
Dr. Brandon P. Romano, PSY.D., MSCP
Title
Owner / Clinical Psychologist
Phone
(225) 769-2533

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100524000079 LA Part B Supplier - Clinic/Group Practice 9739218116 Practice locations: Baton Rouge, LA

National Provider Directory

Locations

10211 Siegen Ln
Ste 2A
Baton Rouge, LA 70810
Phone (225) 769-2533

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YP2500X
Clinical Psychologist
Group: 193200000X MULTI-SPECIALTY GROUP		 103TC0700X 977 LA Yes
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 106H00000X

Addresses

Primary practice location

10211 Siegen LN Ste 2a
Baton Rouge, LA 70810-4988

Mailing address

10211 Siegen LN
Ste 2a
Baton Rouge, LA 70810-4926
Phone (225) 769-2533

Other names

  • Brandon P. Romano, Psy.D. & Associates, LLC Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396973392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 SIEGEN LN",
            "address_2": "STE 2A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104926",
            "telephone_number": "225-769-2533",
            "fax_number": "225-769-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 SIEGEN LN STE 2A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104988",
            "telephone_number": "225-769-2533",
            "fax_number": "225-769-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON P ROMANO PSYD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER / CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "225-769-2533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., MSCP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "977",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandon P. Romano, Psy.D. & Associates, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.