Organization Active NPI

Ingrid Roman PSYD PA

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1679908164
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8783 Issued in FL
Legal business name
INGRID ROMAN PSYD PA
Practice address
2030 S Douglas Rd Ste 215
Coral Gables, FL 33134-4620
Phone
(305) 661-5511
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Ingrid Roman, PSYDNPI 1174957914
Title
PSYD
Phone
(786) 205-1741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY8783 FL Primary

Addresses

Primary practice location

2030 S Douglas Rd Ste 215
Coral Gables, FL 33134-4620

Mailing address

2030 S Douglas Rd Ste 215
Coral Gables, FL 33134-4620
Phone (305) 661-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131115001100 FL Part B Supplier - Clinic/Group Practice 1254567514 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Gables, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

2030 S Douglas Rd
Ste 215
Coral Gables, FL 33134
Phone (305) 661-5511

7950 W Flagler St
Ste 105
Miami, FL 33144
Phone (305) 263-9066

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1679908164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 S DOUGLAS RD STE 215",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344620",
            "telephone_number": "305-661-5511",
            "fax_number": "305-768-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S DOUGLAS RD STE 215",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344620",
            "telephone_number": "305-661-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID ROMAN PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "PSYD",
        "authorized_official_telephone_number": "786-205-1741",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.