MARK ROMAN


Address: 8150 Old 13 Mile Rd, Warren, MI 48093-8700
Phone: 5868259700

MARK ROMAN (NPI# 1972146363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972146363
Entity Type Individual
Full Name MARK ROMAN
Credential TLLP
Practice Address 8150 Old 13 Mile Rd
Warren
MI 48093-8700
Mailing Address 6549 Town Center Dr Ste A
Clarkston
MI 48346-4824
Practice Telephone 5868259700
Mailing Telephone 2486206400
Enumeration Date 2019-10-18
Last Update Date 2020-05-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
6362005151 MI Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
6301018170 MI Behavioral Health & Social Service Providers

Other Providers MARK ROMAN

NPI Name Taxonomy Address Enumeration
1588692602 Mark David Roman Physician Assistant 225 Mary Wallace Way, Dallas, GA 30157-5054 2006-06-29
1598920472 Mark A Roman Dentist 138 Front Street, Addison, NY 14801 2008-07-21
1053487447 Mark Roman Social Worker 1727 Amsterdam Ave, New York, NY 10031-4611 2006-11-28

Office Location

Street Address 8150 OLD 13 MILE RD
City WARREN
State MI
Zip Code 48093-8700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528255247 Karen Anne Teves-frazier Counselor 8150 Old 13 Mile Rd, Warren, MI 48093-8700 2007-09-26
1710594791 Aria Thorpe Social Worker 8150 Old 13 Mile Rd, Warren, MI 48093-8700 2020-09-24
1740894849 Jasmine Al-sheikh Social Worker 8150 Old 13 Mile Rd, Warren, MI 48093-8700 2020-09-04
1053929893 Tara Kanona Social Worker 8150 Old 13 Mile Rd, Warren, MI 48093-8700 2020-07-17
1376151589 Michelle Kurkierewicz Counselor 8150 Old 13 Mile Rd, Warren, MI 48093-8700 2020-07-14
1417573841 Ellen Shansky Social Worker 8150 Old 13 Mile Rd, Warren, MI 48093-8700 2020-06-22
1619501152 Jessica Alia Social Worker 8150 Old 13 Mile Rd, Warren, MI 48093-8700 2020-02-24
1760960579 Alexandra Davidow Counselor 8150 Old 13 Mile Rd, Warren, MI 48093 2018-08-02
1104336569 Melinda Sue Walsh Social Worker 8150 Old 13 Mile Rd, Warren, MI 48093 2017-10-11
1942724463 Sarah Nicole Campbell Social Worker 8150 Old 13 Mile Rd, Warren, MI 48093-8700 2017-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023615986 Toleka Regina Taylor Nurse Anesthetist, Certified Registered St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 2020-10-05
1679112676 Open Heart Communities Case Management 31310 Shaw Dr, Warren, MI 48093 2019-12-23
1538715636 3 Dove Medical Supplies Durable Medical Equipment & Medical Supplies 31201 Chicago Rd S Ste C101, Warren, MI 48093 2019-08-14
1568954600 Schreiber Cardiology, P.C. Internal Medicine 8545 Common Rd Ste 150, Warren, MI 48093 2018-06-05
1730686197 Lambro Seremetis Social Worker 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 2018-04-11
1649775826 Ridge Downs Behavioral Analyst 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 2018-03-28
1144722737 Jessica Farraj Occupational Therapist 11800 E. 12 Mile Road, Warren, MI 48093 2018-02-28
1265930168 Leah Hanrahan Registered Nurse 11700 Amberle Dr., Warren, MI 48093 2018-01-25
1598271553 Pamela Marie Confer Occupational Therapist 11012 13 Mile Rd, Suite 200, Warren, MI 48093 2017-12-28
1831604347 Kate Jeanne Szczepanski Behavior Technician 31200 Chicago Rd S, Warren, MI 48093 2017-12-06
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285235408 Kearisten Gaines Psychologist 1155 Niles Cortland Rd Se Ste 2, Warren, OH 44484-2542 2020-11-04
1649897273 Regina Margaret Edmonds Psychologist 971 Old West Brookfield Rd, Warren, MA 01083-2130 2020-06-30
1073064762 Olesya Bachynska Psychologist 4259 Sudbury Dr, Warren, MI 48092-5145 2016-10-18
1205389855 Kelsey Rae Shelton Psychologist 1155 Niles Cortland Rd Se, Warren, OH 44484-2542 2016-08-01
1265854830 Kenya Holden Psychologist 26185 Regency Club Dr Apt 4, Warren, MI 48089-6242 2014-01-15
1356503577 Eugene Matthew Schimmel Psychologist 29421 Ryan Rd, Warren, MI 48092-2203 2008-06-29
1538346440 Carolyn Richards Johnson Psychologist 672 Atlantic Hwy, Warren, ME 04864-4314 2008-01-23
1497935068 Carol S Mccrea Psychologist 27 Mountain Blvd., Suite 10, Warren, NJ 07059-2411 2007-11-12
1528287612 Kevin Prosnick Psychologist 154 Hogan Ln Ne, Warren, OH 44484-5545 2007-04-25
1215081948 Leonard Craig Sitrin Psychologist 65 Mountain Blvd., Suite 210, Warren, NJ 07059-5658 2007-01-22
Find all providers in WARREN

Competitor

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City WARREN
Zip Code 48093

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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