DR. BONNY J. FORREST (NPI# 1518183862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518183862 |
Entity Type | Individual |
Full Name | DR. BONNY J. FORREST |
Credential | J.D., PH.D. |
Practice Address |
311 4th Ave Suite 609 San Diego CA 92101-6967 |
Practice Telephone | 9176870271 |
Mailing Telephone | 9176870271 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-08-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 353 | DC | Behavioral Health & Social Service Providers |
N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
353 | DC | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
353 | DC | Behavioral Health & Social Service Providers |
N | 103TF0200X |
Psychologist Specialization: Forensic |
353 | DC | Behavioral Health & Social Service Providers |
N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
353 | DC | Behavioral Health & Social Service Providers |
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
353 | DC | Behavioral Health & Social Service Providers |
Street Address |
311 4TH AVE SUITE 609 |
City | SAN DIEGO |
State | CA |
Zip Code | 92101-6967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
Find all providers in zip 92101 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
1528414430 | Mitchel D Pelrman | Clinical Neuropsychologist | 2430 Palermo Dr, San Diego, CA 92106-1221 | 2016-05-10 |
1528468816 | Erin Almklov | Clinical Neuropsychologist | 11512 El Camino Real, 350, San Diego, CA 92130-2087 | 2014-08-25 |
1871930404 | Mili Parikh | Clinical Neuropsychologist | 5752 Oberlin Dr # 112, San Diego, CA 92121-1747 | 2013-05-22 |
1629329164 | Joanna Jacobus | Clinical Neuropsychologist | 3350 La Jolla Village Dr # Mc151b, San Diego, CA 92161-0002 | 2012-09-24 |
1619251790 | Barbara Jean Schrock | Clinical Neuropsychologist | 5989 Cozzens St, San Diego, CA 92122-3724 | 2011-10-06 |
1598099657 | Cheryl La Sasso | Clinical Neuropsychologist | 12526 High Bluff Dr Ste 300, San Diego, CA 92130-2067 | 2009-09-22 |
1295963288 | Delia Maria Silva | Clinical Neuropsychologist | 1901 1st Ave., Ste 245, San Diego, CA 92101 | 2009-06-29 |
1629264130 | Spencer Wetter | Clinical Neuropsychologist | 9648 Caminito Del Feliz, San Diego, CA 92121-1903 | 2007-09-18 |
Find all providers in SAN DIEGO |
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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.