Individual provider Active NPI

Romi McIntire-Mann, PSY.D.

  • Clinical Psychologist
  • Walnut Creek, CA
National Provider Identifier
1942462882
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1942462882 Issued in CA
Practice address
1910 Olympic Blvd Ste 230
Walnut Creek, CA 94596-5070
Phone
(514) 508-7664
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1942462882 CA Primary

Addresses

Primary practice location

1910 Olympic Blvd Ste 230
Walnut Creek, CA 94596-5070

Mailing address

1910 Olympic Blvd Ste 230
Walnut Creek, CA 94596-5070
Phone (415) 508-7664

Other names 1

  • Dr. Romi Mann Professional name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20160209001533 CA Practitioner - Clinical Psychologist 1254635451 Practice locations: Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1910 Olympic Blvd
Suite 230
Walnut Creek, CA 94596-5070
Phone (415) 508-7664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1942462882CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1942462882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OLYMPIC BLVD STE 230",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965070",
            "telephone_number": "415-508-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OLYMPIC BLVD STE 230",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965070",
            "telephone_number": "514-508-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTIRE-MANN",
        "first_name": "ROMI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "1942462882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMI",
            "last_name": "MANN",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.