Charlotte Elizabeth Romberg

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12949799-2506 Issued in UT

Practice address

5455 River Run Dr
Provo, UT 84604-7726

Phone

(801) 226-2550

NPI assigned

Sep 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Scenic View Academy, Inc.

  • Psychiatric Residential Treatment Facility
  • Provo, UT
  • NPI 1750847000

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1497475107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 RIVER RUN DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 RIVER RUN DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047726",
            "telephone_number": "801-226-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMBERG",
        "first_name": "CHARLOTTE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "12949799-2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Taigon Rollins
• Isaac Rollins
• Julia Rollins, ED.S.
• Sheriann Rollins, APRN, FNP
• Naomi Romano
• Ema Romberg
• Demetrius Romero
• Elise Romney
• Pace Romney, M.D.
• Ronald C. Jones, M.D., P.C.

• Behavior Analyst in Provo, UT
• Providers in Provo, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.