Organization Active NPI

Michael Romaniuk PHD LLC

  • Psychologist
  • Akron, OH
National Provider Identifier
1851163455
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MICHAEL ROMANIUK PHD LLC
Doing business as
Michael Romaniuk, PHD
Practice address
799 White Pond Dr Ste D
Akron, OH 44320-1189
Phone
(330) 703-2980
Fax
(330) 665-5400
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Michael Romaniuk, PHDNPI 1336183516
Title
Owner
Phone
(330) 703-2980

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 Primary

Addresses

Primary practice location

799 White Pond Dr Ste D
Akron, OH 44320-1189

Mailing address

799 White Pond Dr Ste D
Akron, OH 44320-1189
Phone (330) 703-2980

Other names 1

  • Michael Romaniuk, PHD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241029002169 OH Part B Supplier - Clinic/Group Practice 2365975315 Receives reassigned benefits from 1 practitioner
Practice locations: Akron, OH

National Provider Directory

National Provider Directory

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": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1851163455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 WHITE POND DR STE D",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201189",
            "telephone_number": "330-703-2980",
            "fax_number": "330-665-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 WHITE POND DR STE D",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201189",
            "telephone_number": "330-703-2980",
            "fax_number": "330-665-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ROMANIUK PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "ROMANIUK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-703-2980",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Romaniuk, PHD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.