DR. MARY J. ROMAN PH.D.
NPI 1285704825
Clinical Neuropsychologist in Camp Hill, PA

Q: What is Mary Roman's NPI number?

The NPI number for Mary Roman is 1285704825. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Mary Roman's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: Is Mary Roman enrolled in Medicare?

No. Mary Roman has opted out of Medicare through January 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Mary Roman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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 November 09, 2006Opted out of Medicare · through Jan 15, 2027

56 ERFORD RD, CAMP HILL, PA 17011(717) 901-9280(717) 909-1288 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mary J. Roman Ph.d. NPPES

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

DR. MARY J. ROMAN PH.D. (NPI 1285704825) is an individual clinical neuropsychologist in Camp Hill, Pennsylvania, licensed in Pennsylvania (PS009123L) and active in the NPI registry since November 2006. She has opted out of Medicare through January 15, 2027.

NPPES Registry Identity

NPI1285704825

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. MARY J. ROMANCredential: PH.D.

Location Address56 ERFORD RDCamp Hill, PA 17011-2304

Mailing Address1051 W Areba AveHershey, PA 17033-2204 · (717) 533-5549 · Fax (717) 533-5549

Phone(717) 901-9280

Fax(717) 909-1288

Sole ProprietorYes

Enumeration DateNovember 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1285704825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in PA · PS009123L

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

56 ERFORD RD, Camp Hill, PA 17011

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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

Dr. Mary J. Roman Ph.d. 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 January 15, 2021 through January 15, 2027.

Opt-Out Effective DateJanuary 15, 2021

Opt-Out In Effect ThroughJanuary 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

FAMILY DEVELOPMENT SERVICES, P.C.

Clinical Neuropsychologist

56 ERFORD RD
CAMP HILL, PA 17011

Cumberland County (717) 901-9280

DR. THOMAS G. BOWERS PH.D.

Clinical Neuropsychologist

56 ERFORD RD
CAMP HILL, PA 17011

Cumberland County (717) 901-9280

DR. SENEL POYRAZLI PH.D.

Psychologist

56 ERFORD RD
CAMP HILL, PA 17011

Cumberland County (717) 901-9280

DR. GINA MARIE BRELSFORD PH.D.

Psychologist (Clinical)

56 ERFORD RD
CAMP HILL, PA 17011

Cumberland County (717) 901-9280

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 Mary Roman's NPI number?

The NPI number for Mary Roman is 1285704825. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Mary Roman located?

Mary Roman practices at 56 Erford Rd, Camp Hill, PA 17011. The listed phone number is (717) 901-9280.

What is Mary Roman's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Mary Roman enrolled in Medicare?

No. Mary Roman has opted out of Medicare through January 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Roman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.