DR. MICHAEL A FORMAN (NPI# 1194726133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194726133 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A FORMAN |
| Credential | PHD |
| Practice Address |
3545 Olentangy Rvr Rd Suite 214 Columbus OH 43214-3907 |
| Practice Telephone | 6142635908 |
| Practice Fax Number | 6142635941 |
| Mailing Telephone | 6142635908 |
| Mailing Fax Number | 6142635941 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2012-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2928 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0426686 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639260276 | Michael Brian Forman | Dentist | 2000 Diamond Hill Rd, Woonsocket, RI 02895-1554 | 2006-09-27 |
| 1043672967 | Michael Forman | Student in an Organized Health Care Education/Training Program | 622 W 168th St, Vc-7th Floor, New York, NY 10032-3720 | 2016-03-22 |
| 1073996054 | Michael Forman | Specialist | 538 Broadhollow Rd, Suite 202, Melville, NY 11747-3676 | 2015-07-08 |
| 1356776389 | Michael Forman | Acupuncturist | 1900 Purdy Ave, Apt 1014, Miami Beach, FL 33139-1400 | 2013-09-10 |
| 1962492488 | Michael Forman | Podiatrist | 29001 Cedar Rd, 309, Lyndhurst, OH 44124-4062 | 2005-10-26 |
| 1992790661 | Michael H. Forman | Emergency Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2005-09-19 |
| 1154324556 | Michael Scott Forman | Pharmacist | 7500 Security Blvd, Mail Stop: C1-22-06, Baltimore, MD 21244-1849 | 2005-05-31 |
| Street Address |
3545 OLENTANGY RVR RD SUITE 214 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184244 | Works of Faith Wellness and Consultation, LLC | Psychologist | 867 Mosaic Ct, Columbus, OH 43230-3835 | 2020-11-02 |
| 1013525120 | Renato Popovic | Psychologist | 2601 Cross Country Dr, Columbus, GA 31906-1801 | 2020-07-15 |
| 1518510155 | Michael Vilensky | Psychologist | 1441 Phale D Hale Drive, Columbus, OH 43203 | 2019-07-23 |
| 1740766559 | Smarter Therapy, LLC | Psychologist | 371 Forest St, Columbus, OH 43206-2221 | 2018-07-15 |
| 1568971570 | Dru Garcia | Psychologist | 999 Polaris Pkwy Ste 102, Columbus, OH 43240-2051 | 2017-09-21 |
| 1356712970 | Brett Allen Coney | Psychologist | 10047 Big Hand Rd, Columbus, MI 48063-2801 | 2015-10-08 |
| 1326446352 | Leila Phelps-ba | Psychologist | 6677 Kennerdown St, Columbus, OH 43229-1517 | 2014-12-08 |
| 1013257161 | Wesley Howard Sylvia | Psychologist | 1800 Harmon Ave, Columbus, OH 43223-3827 | 2013-02-27 |
| 1437465317 | Shonali C Raney | Psychologist | 4041 N High St Ste 300g, Columbus, OH 43214-3200 | 2010-08-30 |
| 1124331699 | Teresa Anne Young | Psychologist | 1520 Old Henderson Rd Ste E, Columbus, OH 43220 | 2010-07-26 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.