Individual provider Active NPI

Roselyn Romano, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1467724526
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
80567 Issued in CA
Practice address
11939 Rancho Bernardo Rd Ste 120
San Diego, CA 92128-2074
Phone
(619) 485-5080
NPI assigned
Feb 6, 2012
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 80567 CA Primary
Marriage & Family Therapist 106H00000X IMF 68134 CA

Addresses

Primary practice location

11939 Rancho Bernardo Rd Ste 120
San Diego, CA 92128-2074

Mailing address

11939 Rancho Bernardo Rd Ste 120
San Diego, CA 92128-2074
Phone (619) 485-5080

Other practice location 1

474 W Vermont Ave
Suite 101
Escondido, CA 92025-6584
Phone (760) 480-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
80567CAMDMarriage & Family Therapist
IMF 68134CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1467724526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11939 RANCHO BERNARDO RD STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282074",
            "telephone_number": "619-485-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11939 RANCHO BERNARDO RD STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282074",
            "telephone_number": "619-485-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 W Vermont Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920256584",
            "country_code": "US",
            "telephone_number": "760-480-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "ROSELYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80567",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 68134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.