Active NPI
Cesar Augusto Roman, M.A.
- School Psychologist
- Ellenton, FL
National Provider Identifier
1750513875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3428
- Practice address
- 5504 36TH CT E
Apt 204
Ellenton, FL 34222-8324 - Phone
- (305) 790-6325
- NPI assigned
- Aug 24, 2009
- Last updated
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3428 | PR | Primary |
Addresses
Primary practice location
5504 36TH CT E
Apt 204
Ellenton, FL 34222-8324
Mailing address
5504 36TH CT E
Apt 204
Ellenton, FL 34222-8324
Phone (305) 790-6325
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3428 | PR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1750513875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 36TH CT E",
"address_2": "APT 204",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342228324",
"telephone_number": "305-790-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 36TH CT E",
"address_2": "APT 204",
"city": "ELLENTON",
"state": "FL",
"postal_code": "342228324",
"telephone_number": "305-790-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "CESAR",
"middle_name": "AUGUSTO",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-24",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "3428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenton, FL
- Premier Family Chiropractic, LLC
- Primehealth Urgent Care LLC
- Prodigy Healthcare Specialists, Inc. (Prodigy Physical Therapy)
- Rachel Relao, RPT
- Curtis Matthew Reynolds, D.C.
- Jazmine Rosario Alviarez
- Jeremiah S Rosenkrans, D.P.T
- Keri Rutherford
- Marie Yvrose Saint-Louis
- Sammy & Divincenzo, P.a. (Ellenton Foot Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.