Ninotchka Roman Hernandez, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5582-57 Issued in WI

Practice address

1250 N 113TH St Ste 200
Wauwatosa, WI 53226-3209

Phone

(262) 432-6600

NPI assigned

Sep 25, 2024

Last updated

Jul 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Graven and Associates, PLLC

  • Clinical Neuropsychologist
  • Louisville, KY
  • NPI 1568846707
  Medicare reassignment NPD
• Children's Specialty Group, Inc.

  • Pediatrics Physician
  • Milwaukee, WI
  • NPI 1942970405
  NPD (past)

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1922825389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N 113TH ST STE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263209",
            "telephone_number": "262-432-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 N 113TH ST STE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263209",
            "telephone_number": "262-432-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN HERNANDEZ",
        "first_name": "NINOTCHKA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "5582-57",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "295538",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP-03375-T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Roeder, PHARMD
• Roger L. Hepperla, M.D., S.C.
• Miya Rogers, LPC
• Jasmine L Rolland, APRN-NP
• Santiago Rolon Montano
• Romant Chiropractic and Wellness, LLC
• Jay Jeffrey Romant, DC
• Rebecca Ann Romeis
• Karla Nohelia Romero-Chacon, MD
• Gary L Romuald, MSW

• Clinical Psychologist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.