DEBORAH DECKER ROMAN PSYD NPI 1982787800

NPI Information

NPI: 1982787800
Provider Name: DEBORAH DECKER ROMAN, PSYD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
516 DELAWARE ST SE
PWB FIRST FLOOR, CLINIC 1A
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-3004
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Deborah Decker Roman, PSYD is a clinical neuropsychologist in Minneapolis, MN. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Deborah Decker Roman, PSYD NPI is 1982787800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

516 DELAWARE ST SE
PWB FIRST FLOOR, CLINIC 1A
MINNEAPOLIS, MN
ZIP 55455-356
Phone: (612) 626-3004

The enumeration date for this NPI number is 10/23/2006 and was last updated on 10/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		LP1553	MINNESOTA	No
2	103G00000X	Clinical Neuropsychologist		LP1553	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5T337RO	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
2	768324	OTHER	MINNESOTA	ARAZ
3	61-29460	OTHER	MINNESOTA	MEDICA PRIMARY
4	HP28951	OTHER	MINNESOTA	HEALTH PARTNERS
5	1015100	OTHER	MINNESOTA	PREFERRED ONE
6	102833	OTHER	MINNESOTA	UCARE
7	61-29460	OTHER	MICRONESIA	MEDICA CHOICE
8	C72694	MEDICARE UPIN
9	842353900	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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