Individual provider Active NPI

Xavier Roman-Acosta, PSYCHOLOGIST

  • Psychologist
  • Bayamon, PR
National Provider Identifier
1700503281
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7258 Issued in PR
Practice address
1075 Carr 2 Apt 220
Bayamon, PR 00959-7274
Phone
(787) 538-0705
NPI assigned
Oct 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 7258 PR
Psychologist 103T00000X 7258 PR Primary

Addresses

Primary practice location

1075 Carr 2 Apt 220
Bayamon, PR 00959-7274

Mailing address

HC 5 Box 25973
Lajas, PR 00667-9478
Phone (787) 538-0705

Other practice location 1

839 Calle Anasco Apt 412
San Juan, PR 00925-2452
Phone (787) 538-0705

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

State licenses

LicenseStateTypeSpecialty
7258PRMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1700503281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 25973",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006679478",
            "telephone_number": "787-538-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CARR 2 APT 220",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597274",
            "telephone_number": "787-538-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "839 Calle Anasco Apt 412",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009252452",
            "country_code": "US",
            "telephone_number": "787-538-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN-ACOSTA",
        "first_name": "XAVIER",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PR",
            "license": "7258",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "7258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.