PATRICIA ANN FORMAN (NPI# 1235607847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235607847 |
Entity Type | Individual |
Full Name | PATRICIA ANN FORMAN |
Practice Address |
1550 Norriston Dr Indianapolis IN 46280-1530 |
Practice Telephone | 3179003555 |
Mailing Telephone | 3179003555 |
Enumeration Date | 2018-11-13 |
Last Update Date | 2018-11-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740349265 | Patricia Calvert Forman | Psychologist | 2165 Commons Pkwy, Okemos, MI 48864-3987 | 2006-12-08 |
1710077664 | Patricia R Forman | Psychiatry & Neurology | 2929 Kenny Rd, Ste 185, Columbus, OH 43221-2415 | 2006-10-13 |
Street Address |
1550 NORRISTON DR |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46280-1530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
1184872434 | Scott Alan Hartman | Physical Medicine & Rehabilitation | 3077 East 96th Street, 265, Indianapolis, IN 46280 | 2008-08-28 |
1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
1780711515 | Dr Lynn Burford P C | Optometrist | 10485 N Pennsylvania, Indianapolis, IN 46280 | 2007-02-28 |
1992875868 | Lynn Burford | Optometrist | 10485 N. Pennsylvania, Indianapolis, IN 46280 | 2006-11-08 |
1790797694 | Fiona Jane Kress | Psychologist | 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 | 2006-08-12 |
1780178384 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 | 2018-06-18 |
1154709830 | Justin P Hawk | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2015-05-13 |
1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
Find all providers in zip 46280 |
Taxonomy Code | 222Q00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Developmental Therapist |
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831709112 | Holly Ann Brinker | Developmental Therapist | 1302 Wallace Ave, Indianapolis, IN 46201-1844 | 2020-08-03 |
1578113122 | Julia Kelle Mcmahon | Developmental Therapist | 8320 Flicker Ct, Indianapolis, IN 46237-9145 | 2019-09-16 |
1407405962 | Mackenzie Kasper | Developmental Therapist | 7308 Wood Duck Ct, Indianapolis, IN 46254-5818 | 2019-09-08 |
1639725336 | Bryce Greene | Developmental Therapist | 661 Barbados Dr, Indianapolis, IN 46227-2278 | 2019-08-18 |
1619530789 | Laurie Lynn Stark | Developmental Therapist | 1776 N Meridian St Ste 300, Indianapolis, IN 46202-1469 | 2019-04-15 |
1184182743 | Sherika Nichole Sultzer | Developmental Therapist | 3126 Shadow Brook Dr, Indianapolis, IN 46214-1903 | 2019-03-03 |
1033682349 | Debi Alexander | Developmental Therapist | 1427 Pittwood Dr, Indianapolis, IN 46240-1243 | 2019-01-09 |
1477026979 | Danyell S Smith | Developmental Therapist | 7012 Moon Ct, Indianapolis, IN 46241-3665 | 2019-01-07 |
1609348606 | Mary Margaret Wells | Developmental Therapist | 9233 Lakewind Ct, Indianapolis, IN 46256-9355 | 2019-01-02 |
1104397462 | Renee Abigail Foor | Developmental Therapist | 1925 W 51st St, Indianapolis, IN 46228-2306 | 2018-12-16 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46280 |
Please comment or provide details below to improve the information on PATRICIA ANN FORMAN.
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.