PATRICIA CALVERT FORMAN (NPI# 1740349265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740349265 |
| Entity Type | Individual |
| Full Name | PATRICIA CALVERT FORMAN |
| Credential | PHD |
| Practice Address |
2165 Commons Pkwy Okemos MI 48864-3987 |
| Practice Telephone | 5173496370 |
| Practice Fax Number | 5173498212 |
| Mailing Telephone | 5173496370 |
| Mailing Fax Number | 5173498212 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301003271 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607847 | Patricia Ann Forman | Developmental Therapist | 1550 Norriston Dr, Indianapolis, IN 46280-1530 | 2018-11-13 |
| 1710077664 | Patricia R Forman | Psychiatry & Neurology | 2929 Kenny Rd, Ste 185, Columbus, OH 43221-2415 | 2006-10-13 |
| Street Address |
2165 COMMONS PKWY |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-3987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467986380 | Blue Arrow Therapy | Social Worker | 2165 Commons Pkwy, Okemos, MI 48864-3987 | 2017-04-18 |
| 1881732626 | Jennifer Ruth Flaminio | Social Worker | 2165 Commons Pkwy, Okemos, MI 48864-3987 | 2007-02-02 |
| 1275687436 | Okemos Psychological Consultanats | Psychologist | 2165 Commons Pkwy, Okemos, MI 48864-3987 | 2007-01-23 |
| 1013073535 | Rhonda M Earley | Counselor | 2165 Commons Pkwy, Suite C, Okemos, MI 48864-3987 | 2006-12-29 |
| 1639230873 | Gregory D Cook | Social Worker | 2165 Commons Pkwy, Okemos, MI 48864-3987 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| 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 |
|---|---|---|---|---|
| 1104291723 | Joy Family Center | Psychologist | 1745 Hamilton Rd Ste 350, Okemos, MI 48864-1955 | 2015-12-08 |
| 1437522935 | Shubhra Kannan | Psychologist | 4405 Heritage Ave, Apt B5, Okemos, MI 48864 | 2015-11-05 |
| 1487084786 | Sharon Strouse | Psychologist | 2111 University Park Dr Ste 100, Okemos, MI 48864-5955 | 2013-11-22 |
| 1023440419 | Dr Lori Naughton Psy D PC | Psychologist | 1745 Hamilton Rd, #325, Okemos, MI 48864-1954 | 2013-08-07 |
| 1760606313 | Martha Lynn Aldenbrand | Psychologist | 2290 Bennett Rd, Okemos, MI 48864-3233 | 2007-04-13 |
| 1891843173 | Jerilyn Davis-robison | Psychologist | 4631 Ottawa Dr, Okemos, MI 48864-2028 | 2007-01-05 |
| 1407910854 | Psychological and Consultation Services PC | Psychologist | 4123 Okemos Rd Ste 15, Okemos, MI 48864-2818 | 2006-12-20 |
| 1215037999 | Psychiatric Associates of Ingham | Psychologist | 2220 University Park Dr, Okemos, MI 48864-3966 | 2006-09-23 |
| 1932112695 | Michele Ollie Poorman | Psychologist | 2422 Jolly Rd, Suite 300, Okemos, MI 48864-3514 | 2006-08-14 |
| 1801847512 | Alison M Howie-day | Psychologist | 2109 Hamilton Rd, Okemos, MI 48864-1700 | 2006-05-15 |
| Find all providers in OKEMOS | ||||
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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.