AMANDA ROMAN
NPI 1093354672
Marriage & Family Therapist in Upland, CA

Q: What is Amanda Roman's NPI number?

The NPI number for Amanda Roman is 1093354672. It was assigned to this individual provider in the NPPES registry on December 31, 2019.

Q: What is Amanda Roman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Roman was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 31, 2019PECOS EnrolledAccepts Medicare Assignment

134 MERCER WAY, UPLAND, CA 91786(909) 997-8632 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2024, Feb 14, 2020, Dec 31, 2019 (3 updates tracked since 2019).

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About Amanda Roman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA ROMAN (NPI 1093354672) is an individual marriage & family therapist in Upland, California, licensed in California (137707) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093354672

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameAMANDA ROMAN

Location Address134 MERCER WAYUpland, CA 91786-6442

Mailing Address134 Mercer WayUpland, CA 91786-6442 · (909) 997-8632

Phone(909) 997-8632

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 31, 2019

Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1093354672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 137707

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 115565 (CA)

134 MERCER WAY, Upland, CA 91786

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Roman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527503622

PECOS Enrollment IDI20240712003243

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Roman's NPI number?

The NPI number for Amanda Roman is 1093354672. It was assigned to this individual provider in the NPPES registry on December 31, 2019.

Where is Amanda Roman located?

Amanda Roman practices at 134 Mercer Way, Upland, CA 91786. The listed phone number is (909) 997-8632.

What is Amanda Roman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Amanda Roman enrolled in Medicare?

Yes. Amanda Roman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Roman was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.