DR. KRISTEN M ROMAN PSY.D.
NPI 1891222931
Psychologist - Clinical in New York, NY

Active since May 19, 2017Opted out of Medicare · through Feb 4, 2028
113 UNIVERSITY PLACE, FLOOR 11, OFFICE F, NEW YORK, NY 10003(646) 760-2778 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2022, Jan 28, 2022, Dec 17, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Kristen M Roman Psy.d. NPPES

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

DR. KRISTEN M ROMAN PSY.D. (NPI 1891222931) is an individual clinical provider in New York, New York, licensed in New York (021711) and active in the NPI registry since May 2017. She has opted out of Medicare through February 4, 2028.

NPPES Registry Identity

NPI1891222931
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KRISTEN M ROMANCredential: PSY.D.
Location Address113 UNIVERSITY PLACE, FLOOR 11, OFFICE FNew York, NY 10003
Mailing Address113 University Place, Floor 11, Office FNew York, NY 10003 · (646) 760-2778
Sole ProprietorNo
Enumeration DateMay 19, 2017
Last NPPES UpdateMay 25, 20226 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
NPI 1891222931 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 NY · 021711
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.

113 UNIVERSITY PLACE, New York, NY 10003

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. Kristen M Roman Psy.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 February 4, 2022 through February 4, 2028.

Opt-Out Effective DateFebruary 4, 2022
Opt-Out In Effect ThroughFebruary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Social Worker (Clinical)
113 UNIVERSITY PLACE, SUITE #1004
NEW YORK, NY 10003
Psychologist
113 UNIVERSITY PLACE, SUITE 1002
NY, NY 10003
Clinic/Center (Mental Health (Including Community Mental Health Center))
113 UNIVERSITY PLACE, SUITE 117, FLOOR 9
NEW YORK, NY 10003
Counselor (Mental Health)
113 UNIVERSITY PLACE, 11TH FLOOR, OFFICES A AND B
NEW YORK CITY, NY 10003
Psychoanalyst
113 UNIVERSITY PLACE, SUITE 1004
NEW YORK, NY 10003
Psychologist
113 UNIVERSITY PLACE, 10TH FLOOR SUITE 1003
NEW YORK, NY 10003

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 Kristen Roman's NPI number?

The NPI number for Kristen Roman is 1891222931. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Kristen Roman located?

Kristen Roman practices at 113 University Place Floor 11, Office F, New York, NY 10003. The listed phone number is (646) 760-2778.

What is Kristen Roman's specialty?

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

Is Kristen Roman enrolled in Medicare?

No. Kristen Roman has opted out of Medicare through February 4, 2028. 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 Kristen Roman was last updated on May 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.