Individual provider Active NPI

Tattiana Romo, PH.D

  • Clinical Psychologist
  • Broomfield, CO
National Provider Identifier
1427414002
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0005729 Issued in CO
Practice address
11705 Airport Way Ste 304
Broomfield, CO 80021-2711
Phone
(720) 633-9693
NPI assigned
Jan 12, 2016
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Clinical Psychologist 103TC0700X PSY.0005729 CO Primary

Addresses

Primary practice location

11705 Airport Way Ste 304
Broomfield, CO 80021-2711

Mailing address

PO Box 471448
Aurora, CO 80047-1448
Phone (303) 617-2300

Other practice location 1

11059 E Bethany Dr
Aurora, CO 80014-2622
Phone (303) 617-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20230927002097 CO Practitioner - Clinical Psychologist 6800240664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Family HealthGroup PAC ID 3173433398, 75 clinicians

Practice addresses (Care Compare)

270 S 8TH Ave
Brighton, CO 80601-2132
Phone (303) 655-4200

30 S 20TH Ave
Brighton, CO 80601-3705
Phone (303) 655-1950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Family Health Current Accepting new patients
Salud Family Health CurrentSince Sep 4, 2023 Accepting new patients
Salud Family Health CurrentSince Sep 4, 2023 Accepting new patients
Salud Family Health Past Accepting new patients
Salud Family Health Past Accepting new patients

Locations

1860 E Egbert St
Brighton, CO 80601
Phone (303) 659-4000

30 S 20th Ave
Brighton, CO 80601
Phone (303) 655-1950

6255 Quebec Pkwy
Commerce City, CO 80022
Phone (303) 286-8900

1950 Redtail Hawk Dr
Estes Park, CO 80517
Phone (970) 586-9105

1635 Blue Spruce Dr
Fort Collins, CO 80524
Phone (970) 494-4040

1115 2nd St
Fort Lupton, CO 80621
Phone (303) 857-2771

203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560

729 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 867-0300

5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050

220 E Rogers Rd
Longmont, CO 80501
Phone (303) 776-3250

1410 S 7th Ave
Sterling, CO 80751
Phone (970) 526-2589

911 Robinson Ave
Trinidad, CO 81082
Phone (303) 386-2727

Interoperability endpoints

  • Direct secure messaging: tattiana.romo@sfhc.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1427414002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471448",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800471448",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 AIRPORT WAY STE 304",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800212711",
            "telephone_number": "720-633-9693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11059 E Bethany Dr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142622",
            "country_code": "US",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMO",
        "first_name": "TATTIANA",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.