Individual provider Active NPI

Allen Joseph Romeo, PH.D

  • Clinical Psychologist
  • Statesville, NC
National Provider Identifier
1659408557
Registry record updated Dec 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2207 Issued in NC
Practice address
1706 Davie Ave
Statesville, NC 28677-3589
Phone
(704) 872-5990
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2207 NC Primary

Addresses

Primary practice location

1706 Davie Ave
Statesville, NC 28677-3589

Mailing address

97 Mountain Aire Dr
Stony Point, NC 28678-9182
Phone (704) 585-9606

Other identifiers 2

IdentifierTypeStateIssuer
6000330MedicaidNC
03987OtherNCBCBS OF NC NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120412000581 NC Practitioner - Clinical Psychologist 9335300607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1433 Davie Ave
Statesville, NC 28677-3515
Phone (704) 872-5990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2207NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Allen J Romeo & Associates PLLC Clinical CurrentSince Aug 25, 2015 Accepting new patients

Locations

1433 Davie Ave
Statesville, NC 28677
Phone (704) 872-5990

1706 Davie Ave
Statesville, NC 28677
Phone (704) 872-5990

Organizations & group practices 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293321600000",
    "number": "1659408557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MOUNTAIN AIRE DR",
            "city": "STONY POINT",
            "state": "NC",
            "postal_code": "286789182",
            "telephone_number": "704-585-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773589",
            "telephone_number": "704-872-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMEO",
        "first_name": "ALLEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000330",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC NUMBER",
            "identifier": "03987",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.