Individual provider Active NPI

Emmanuel Romero, LMFT

  • Marriage & Family Therapist
  • San Clemente, CA
National Provider Identifier
1982120200
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112844 Issued in CA
Practice address
333 Calle Escuela
San Clemente, CA 92672-2108
Phone
(714) 494-6154
NPI assigned
Aug 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 112844 CA Primary

Addresses

Primary practice location

333 Calle Escuela
San Clemente, CA 92672-2108

Mailing address

333 Calle Escuela
San Clemente, CA 92672-2108
Phone (714) 494-6154

Other names 1

  • Manny Romero Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address manny@mrtherapistmft.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients
Mr. Therapist, Individual & Family Therapy Inc. Marriage & Family Therapist Current Accepting new patients

Locations

1000 Calle Amanecer
San Clemente, CA 92673
Phone (949) 481-9113

Interoperability endpoints

  • Direct secure messaging: emmanuelromero@tdh.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1982120200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CALLE ESCUELA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722108",
            "telephone_number": "714-494-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CALLE ESCUELA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722108",
            "telephone_number": "714-494-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "EMMANUEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "manny@mrtherapistmft.com",
            "affiliation": "N",
            "endpointDescription": "Business E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "333 Calle Escuela",
            "city": "San Clemente",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926722108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MANNY",
            "last_name": "ROMERO",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.