Active NPI
Robert Di Roma II, LADC
- Addiction (Substance Use Disorder) Counselor
- Stamford, CT
National Provider Identifier
1992197560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 001114
- Practice address
- 141 Franklin St
Stamford, CT 06901-1014 - Phone
- (203) 602-4441
- Fax
- (203) 602-7782
- NPI assigned
- Feb 19, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 001114 | CT | Primary |
Addresses
Primary practice location
141 Franklin St
Stamford, CT 06901-1014
Mailing address
350 Fairfield Ave
Suite 701
Bridgeport, CT 06604-6014
Phone (203) 336-5225
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 |
|---|---|---|---|
| 001114 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1992197560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 FAIRFIELD AVE",
"address_2": "SUITE 701",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066046014",
"telephone_number": "203-336-5225",
"fax_number": "203-336-2851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 FRANKLIN ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069011014",
"telephone_number": "203-602-4441",
"fax_number": "203-602-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI ROMA",
"first_name": "ROBERT",
"name_suffix": "II",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-19",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "001114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.