Individual provider Active NPI

Amanda Skowron Romano, PSY.D.

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1487099198
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005636 Issued in VA
Practice address
4401 Fairfax Dr Ste 205
Arlington, VA 22203-1622
Phone
(571) 328-7408
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 05280 MD
Clinical Psychologist 103TC0700X 0810005636 VA Primary

Addresses

Primary practice location

4401 Fairfax Dr Ste 205
Arlington, VA 22203-1622

Mailing address

4401 Fairfax Dr Ste 205
Arlington, VA 22203-1622
Phone (571) 328-7408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2022 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810005636VAMDClinical Psychologist
05280MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Health LLC CurrentSince Mar 27, 2022 Accepting new patients
CHI Health Care Inc. Past Accepting new patients

Locations

4401 Fairfax Dr
Ste 205
Arlington, VA 22203
Phone (571) 328-7403

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1487099198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 FAIRFAX DR STE 205",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031622",
            "telephone_number": "571-328-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 FAIRFAX DR STE 205",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031622",
            "telephone_number": "571-328-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "AMANDA",
        "middle_name": "SKOWRON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05280",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.