MARK ROMAN (NPI# 1972146363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
8150 OLD 13 MILE RD |
City | WARREN |
State | MI |
Zip Code | 48093-8700 |
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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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 |
Find all providers in zip 48093 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
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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.