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DR. ALISA M ROMAN PH.D.
NPI 1588672273
Psychologist - Clinical in Fairfax, VA

Active since August 04, 2006Opted out of Medicare · through Apr 1, 2027
11244 WAPLES MILL RD, SUITE D-1, FAIRFAX, VA 22030(703) 385-0196(703) 385-0197 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Alisa M Roman Ph.d. NPPES

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

DR. ALISA M ROMAN PH.D. (NPI 1588672273) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810001888) and active in the NPI registry since August 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1588672273
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ALISA M ROMANCredential: PH.D.
Location Address11244 WAPLES MILL RD, SUITE D-1Fairfax, VA 22030-6040
Mailing Address6101 Kings Color DrFairfax, VA 22030-5916 · (703) 385-0196 · Fax (703) 385-0197
Phone(703) 385-0196
Fax(703) 385-0197
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1588672273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810001888
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
11244 WAPLES MILL RD, Fairfax, VA 22030
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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. Alisa M 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 April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

JANINE M MURPHY-NEILSON LPC
Counselor (Professional)
11244 WAPLES MILL RD, SUITE D-1
FAIRFAX, VA 22030
Fairfax City (703) 596-4205
MRS. JULIE MARGARET MAYFIELD L.C.S.W.
Social Worker (Clinical)
11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030
Fairfax City (703) 352-2200
TIMOTHY J. SWEENEY, P.C.
Social Worker (Clinical)
11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030
Fairfax City (703) 359-4848
DR. CAROL TILLEY PH.D.
Specialist
11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030
Fairfax City (703) 218-2066
TIMOTHY J. SWEENEY LCSW
Social Worker (Clinical)
11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030
Fairfax City (703) 359-4848
DR. MICHELLE F EABON PH.D.
Psychologist (Clinical Child & Adolescent)
11244 WAPLES MILL RD, SUITE G-1
FAIRFAX, VA 22030
Fairfax City (703) 691-4204

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 Alisa Roman's NPI number?

The NPI number for Alisa Roman is 1588672273. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Alisa Roman located?

Alisa Roman practices at 11244 Waples Mill Rd Suite D-1, Fairfax, VA 22030. The listed phone number is (703) 385-0196.

What is Alisa Roman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alisa Roman enrolled in Medicare?

No. Alisa Roman has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alisa 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.