DR. BONNY J. FORREST


Address: 311 4th Ave, Suite 609, San Diego, CA 92101-6967
Phone: 9176870271

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 311 4TH AVE
SUITE 609
City SAN DIEGO
State CA
Zip Code 92101-6967

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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City SAN DIEGO
Zip Code 92101

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Dataset Information

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.

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