NPI age
7 years
Enumerated 2018-07-19
● Active
Type 1 · Individual
Demetrius Roman
Roman is 1 of 5 psychologist providers in Atlanta and 1 of 8 in Georgia.
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-07-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 8 active psychologist providers in Georgia.
NPI age
7 years
↓ 10 yr below median (17 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
62% of peers hold subspecialties
NPI lifetime · 2018 → 2026
2018-07Enumerated in NPPES
2018
2026
Where they practice
Practice location
1580 Phoenix Blvd Ste 200
Atlanta, GA 303495187
Mailing address
Po Box 962651
Riverdale, GA 302966926
Specialties
-
Psychologist PrimaryA psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00320566A |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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