MARK ROMAN TLLP
NPI 1972146363
Psychologist - Clinical in Warren, MI

Q: What is Mark Roman's NPI number?

The NPI number for Mark Roman is 1972146363. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Q: What is Mark Roman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Roman was last updated on May 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 18, 2019

8150 OLD 13 MILE RD, WARREN, MI 48093(586) 825-9700 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2020, Oct 18, 2019 (2 updates tracked since 2019).

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About Mark Roman Tllp NPPES

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

MARK ROMAN TLLP (NPI 1972146363) is an individual clinical provider in Warren, Michigan, licensed in Michigan (6362005151) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1972146363

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMARK ROMANCredential: TLLP

Location Address8150 OLD 13 MILE RDWarren, MI 48093-8700

Mailing Address6549 Town Center Dr Ste AClarkston, MI 48346-4824 · (248) 620-6400

Phone(586) 825-9700

Sole ProprietorNo

Enumeration DateOctober 18, 2019

Last NPPES UpdateMay 26, 20202 updates tracked since enumeration

NPPES CertifiedMay 26, 2020

✔ NPI 1972146363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in MI · 6362005151✔ Licensed in MI · 6301018170

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.

8150 OLD 13 MILE RD, Warren, MI 48093

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