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DEMETRIUS ROMAN
NPI 1811474125
Psychologist - Family in Atlanta, GA

Active since July 19, 2018
1580 PHOENIX BLVD STE 200, ATLANTA, GA 30349(770) 282-0389 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Jul 19, 2018 (2 updates tracked since 2018).

About Demetrius Roman NPPES

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

DEMETRIUS ROMAN (NPI 1811474125) is an individual family provider in Atlanta, Georgia and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1811474125
Entity TypeIndividualMale
Primary Taxonomy103TF0000X
Provider Legal NameDEMETRIUS ROMAN
Location Address1580 PHOENIX BLVD STE 200Atlanta, GA 30349-5187
Mailing AddressPo Box 962651Riverdale, GA 30296-6926 · (770) 282-0389
Phone(770) 282-0389
Sole ProprietorYes
Enumeration DateJuly 19, 2018
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
✔ NPI 1811474125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · FamilyBehavioral Health & Social Service Providers
Taxonomy Code103TF0000X
Definition
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
1580 PHOENIX BLVD STE 200, Atlanta, GA 30349
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Other Identifiers 1

Medicaid00320566AGA

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 Demetrius Roman's NPI number?

The NPI number for Demetrius Roman is 1811474125. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Where is Demetrius Roman located?

Demetrius Roman practices at 1580 Phoenix Blvd Ste 200, Atlanta, GA 30349. The listed phone number is (770) 282-0389.

What is Demetrius Roman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Family, with taxonomy code 103TF0000X.

When was this NPI record last updated?

The NPPES record for Demetrius Roman was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.