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DR. ROMAN JOHN KOLODCHIN PHD
NPI 1679900047
Psychologist - Clinical Child & Adolescent in Warren, MI

Active since October 01, 2013PECOS Enrolled
21056 DEAN ST, WARREN, MI 48091(586) 477-7472(313) 454-8447 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roman John Kolodchin Phd NPPES

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

DR. ROMAN JOHN KOLODCHIN PHD (NPI 1679900047) is an individual clinical child & adolescent provider in Warren, Michigan, licensed in Michigan (6301009313) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679900047
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. ROMAN JOHN KOLODCHINCredential: PHD
Location Address21056 DEAN STWarren, MI 48091-2760
Mailing Address21056 Dean StWarren, MI 48091-2760 · (586) 477-7472 · Fax (313) 454-8447
Phone(586) 477-7472
Fax(313) 454-8447
Sole ProprietorYes
Enumeration DateOctober 1, 2013
Last NPPES UpdateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1679900047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MI · 6301009313
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
21056 DEAN ST, Warren, MI 48091
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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 (PECOS)

Dr. Roman John Kolodchin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

AUTUMN JAMES MA, LLP
Psychologist
21056 DEAN ST
WARREN, MI 48091
Macomb County (586) 806-4678
SAFEHAUS INC
Psychiatric Residential Treatment Facility
21056 DEAN ST
WARREN, MI 48091
Macomb County (586) 806-4678

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 Roman Kolodchin's NPI number?

The NPI number for Roman Kolodchin is 1679900047. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Roman Kolodchin located?

Roman Kolodchin practices at 21056 Dean St, Warren, MI 48091. The listed phone number is (586) 477-7472.

What is Roman Kolodchin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Roman Kolodchin enrolled in Medicare?

Yes. Roman Kolodchin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roman Kolodchin was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.