Active NPI
Yoram Moshe Roman, PH.D, MFT
- Marriage & Family Therapist
- Burbank, CA
National Provider Identifier
1699799536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC8781
- Practice address
- 500 E Olive Ave
Suite 830
Burbank, CA 91501-3316 - Phone
- (818) 845-3510
- Fax
- (818) 845-0528
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC8781 | CA | Primary |
Addresses
Primary practice location
500 E Olive Ave
Suite 830
Burbank, CA 91501-3316
Mailing address
500 E Olive Ave
Suite 830
Burbank, CA 91501-3316
Phone (818) 845-3510
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC8781 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority Behavioral Medical Group | Past | Accepting new patients | |
| Mir Ali-Khan M D Professional Corporation | Past | 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.
-
- Psychiatry Physician
- Burbank, CA
- NPI 1598999286
-
- Mental Health Counselor
- Burbank, CA
- NPI 1134386469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699799536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E OLIVE AVE",
"address_2": "SUITE 830",
"city": "BURBANK",
"state": "CA",
"postal_code": "915013316",
"telephone_number": "818-845-3510",
"fax_number": "818-845-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E OLIVE AVE",
"address_2": "SUITE 830",
"city": "BURBANK",
"state": "CA",
"postal_code": "915013316",
"telephone_number": "818-845-3510",
"fax_number": "818-845-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "YORAM",
"middle_name": "MOSHE",
"credential": "PH.D, MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC8781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.