David Hermosillo-Romo, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3614 Issued in AZ

Practice address

5363 E Pima St Ste 100
Tucson, AZ 85712

Phone

(520) 690-6443

Fax

(520) 323-1336

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Clinical Forensic Neuropsychology LLC

  • Clinical Neuropsychologist
  • Tucson, AZ
  • NPI 1194571232
  NPD Authorized official
• B Robert Crago PHD PC

  • Psychologist
  • Tucson, AZ
  • NPI 1821107004
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467544718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 E PIMA ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-690-6443",
            "fax_number": "520-323-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 E PIMA ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-690-6443",
            "fax_number": "520-323-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMOSILLO-ROMO",
        "first_name": "DAVID",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3614",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "930653",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0618320",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara K Herko, PHARMD
• Kara Herlihy, PHARMD
• Gwenn Hope Herman, LCSW-C, DCSW
• Michelle Jaye Herman, MD
• Angelynn Marie Hermes, LCSW
• Alexis Amber Hermosillo
• Adrian David Hernandez Ornelas
• Ivonne Del Carmen Hernandez-Aguirre, M.S., CCC-SLP
• Annette M Hernandez-Parkhurst, MD
• Amanda Lebrija Hernandez, FNP-C

• All providers in Tucson, AZ
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.