Ivelisse Roman
Counselor, Mental Health in Middletown, New York
1811586795- Practice location
- 15 Fortune RD W, Middletown, NY 10941-1625
- Phone
- 845-673-7123
- Fax
- 845-692-2889
- Last updated
- February 26, 2026
Ivelisse Roman is a Counselor, Mental Health based in Middletown, NY. Ivelisse Roman practices in Middletown, NY. The NPI Number for Ivelisse Roman is 1811586795 and holds a License No. 013057 (NY). The current practice location address for Ivelisse Roman is 15 Fortune RD W, Middletown, NY 10941-1625 and can be reached out via phone at 845-673-7123 and via fax at 845-692-2889.
Provider Profile Details
- NPI Number
- 1811586795
- Provider Name
- Ivelisse Roman
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Fortune RD W, Middletown, NY 10941-1625
- Phone Number
- 845-673-7123
- Fax Number
- 845-692-2889
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 14, 2021
- Last Update Date
- February 26, 2026
- Certification Date
- February 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Fortune RD W
Middletown, NY 10941-1625 - City
- Middletown
- State
- New York
- Zip
- 10941-1625
- Phone Number
- 845-673-7123
- Fax Number
- 845-692-2889
Provider Business Mailing Address Details
- Address
- 15 Fortune RD W
Middletown, NY 10941-1625 - City
- Middletown
- State
- NY
- Zip
- 10941-1625
- Phone Number
- 845-673-7123
- Fax Number
- 845-692-2889
License Information
- License Number
- 013057
- License State
- NY
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ivelisse Roman?
The NPI number of Ivelisse Roman is 1811586795. It was assigned on January 14, 2021 and is currently active in the NPPES registry.
What is the specialty of Ivelisse Roman?
Ivelisse Roman is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NY under license number 013057.
Where does Ivelisse Roman practice?
The practice location is 15 Fortune RD W, Middletown, NY 10941-1625. The office can be reached at 845-673-7123 (phone) or 845-692-2889 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811586795 directly on the NPPES registry website.