MRS. MARA PATRICIA ROMANAK MFT - NPI 1104268358 - Marriage & Family Therapist in San Francisco, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Mrs. Mara Patricia Romanak Mft NPPES

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

MRS. MARA PATRICIA ROMANAK MFT (NPI 1104268358) is an individual marriage & family therapist in San Francisco, California, licensed in California (MFC21127) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104268358

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. MARA PATRICIA ROMANAKCredential: MFT

Location Address2477 WASHINGTON STSan Francisco, CA 94115-1816

Mailing Address2477 Washington StSan Francisco, CA 94115-1816 · (415) 346-4522

Phone(415) 346-4522

Sole ProprietorYes

Enumeration DateJuly 29, 2013

✔ NPI 1104268358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC21127

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.

2477 WASHINGTON ST, San Francisco, CA 94115

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Mara Patricia Romanak Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 12, 2024 through March 12, 2026.

Opt-Out Effective DateMarch 12, 2024

Opt-Out In Effect ThroughMarch 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOROTHY MCQUOWN PH.D.

Psychologist