Active NPI
Frank Donald Roman, ED.D.
- School Psychologist
- Fairmont, WV
National Provider Identifier
1861663395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 170
- Practice address
- 200 Gaston Ave
Fairmont, WV 26554-2739 - Phone
- (304) 624-6554
- Fax
- (304) 624-5223
- NPI assigned
- Mar 12, 2008
- 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 | 170 | WV | Primary |
Addresses
Primary practice location
200 Gaston Ave
Fairmont, WV 26554-2739
Mailing address
200 Gaston Ave
Fairmont, WV 26554-2739
Phone (304) 624-6554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165330000 | Medicaid | WV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 170 | WV | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion County Board of Education | Past | Accepting new patients | |
| Marion County Board of Education | 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.
-
- Local Education Agency (LEA)
- Fairmont, WV
- NPI 1245409127
-
- Local Education Agency (LEA)
- Fairmont, WV
- NPI 1528244183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1861663395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GASTON AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542739",
"telephone_number": "304-624-6554",
"fax_number": "304-624-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GASTON AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542739",
"telephone_number": "304-624-6554",
"fax_number": "304-624-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "FRANK",
"middle_name": "DONALD",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WV",
"license": "170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0165330000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.