Individual provider Active NPI

Yanice Aime Roman

  • Psychologist
  • Aguadilla, PR
National Provider Identifier
1679333496
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4741 Issued in PR
Practice address
47 Ave Severiano Cuevas Ste 7
Aguadilla, PR 00603-5759
Phone
(787) 882-3682
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4741 PR Primary

Addresses

Primary practice location

47 Ave Severiano Cuevas Ste 7
Aguadilla, PR 00603-5759

Mailing address

47 Ave Severiano Cuevas Ste 7
Aguadilla, PR 00603-5759
Phone (787) 882-3682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20250221003394 PR Practitioner - Clinical Psychologist 7315467214 Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Psicologica Dr Hector J Martinez Capella, LLC PastSince Mar 24, 2024 Accepting new patients
Clinica Geriatria Y Ortopedia del Oeste LLC PastSince Sep 9, 2021 Accepting new patients

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1679333496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 AVE SEVERIANO CUEVAS STE 7",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035759",
            "telephone_number": "787-882-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 AVE SEVERIANO CUEVAS STE 7",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035759",
            "telephone_number": "787-882-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "YANICE",
        "middle_name": "AIME",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "4741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.