Active NPI
Diane Elizabeth Roman, MFT
- Marriage & Family Therapist
- Huntsville, TX
National Provider Identifier
1669668489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 203353
- Practice address
- 901 Normal Park Dr
Ste. 201
Huntsville, TX 77320 - Phone
- (936) 355-4585
- Fax
- (916) 421-6037
- NPI assigned
- Sep 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 40508 | CA | |
| Marriage & Family Therapist | 106H00000X | 203353 | TX | Primary |
Addresses
Primary practice location
901 Normal Park Dr
Ste. 201
Huntsville, TX 77320
Mailing address
P.O. Box 9415
Huntsville, TX 77340
Phone (936) 355-4585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40508 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1669668489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 9415",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "77340",
"telephone_number": "936-355-4585",
"fax_number": "916-421-6037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 NORMAL PARK DR",
"address_2": "STE. 201",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "77320",
"telephone_number": "936-355-4585",
"fax_number": "916-421-6037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "DIANE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-16",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "40508",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.