1396973392 NPI number — BRANDON P ROMANO PSYD & ASSOCIATES

Table of content: (NPI 1396973392)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396973392 NPI number — BRANDON P ROMANO PSYD & ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRANDON P ROMANO PSYD & ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BRANDON P. ROMANO, PSY.D. & ASSOCIATES, LLC
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396973392
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10211 SIEGEN LN
Provider Second Line Business Mailing Address:
STE 2A
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70810-4926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-769-2533
Provider Business Mailing Address Fax Number:
225-769-2441

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10211 SIEGEN LN STE 2A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70810-4988
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-769-2533
Provider Business Practice Location Address Fax Number:
225-769-2441
Provider Enumeration Date:
06/29/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ROMANO
Authorized Official First Name:
BRANDON
Authorized Official Middle Name:
P.
Authorized Official Title or Position:
OWNER / CLINICAL PSYCHOLOGIST
Authorized Official Telephone Number:
225-769-2533

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X , with the licence number: 977 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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