DR. LISSETTE CARMONA-ROMAN PSYD
NPI 1861718975
Psychologist in Davenport, FL

Active since April 14, 2010PECOS Enrolled
521 BRUNSWICK DR, DAVENPORT, FL 33837(347) 480-6490 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lissette Carmona-roman Psyd NPPES

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

DR. LISSETTE CARMONA-ROMAN PSYD (NPI 1861718975) is an individual psychologist in Davenport, Florida, licensed in Florida (PY11323) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861718975
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISSETTE CARMONA-ROMANCredential: PSYD
Location Address521 BRUNSWICK DRDavenport, FL 33837-4609
Mailing Address521 Brunswick DrDavenport, FL 33837-4609 · (347) 480-6490
Sole ProprietorNo
Enumeration DateApril 14, 2010
Last NPPES UpdateNovember 14, 2022
NPPES CertifiedNovember 14, 2022
NPI 1861718975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in FL · PY11323 Licensed in PR · 3509
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

521 BRUNSWICK DR, Davenport, FL 33837

Other Names 1

Former Name (1)Lissette Carmona Camacho Lissette Carmona

Medicare Participation & PECOS Enrollment Status

Lissette Carmona-roman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861718975, enumerated as an "individual" on April 14, 2010.

The provider is located at 521 BRUNSWICK DR DAVENPORT, FL 33837 and the phone number is (347) 480-6490.

Psychologist with taxonomy code 103T00000X.