DR. REBECCA D FORKNER PH.D.
NPI 1063720423
Counselor - Mental Health in Brookline, MA

Active since September 20, 2010Opted out of Medicare · through Mar 29, 2028
1415 BEACON ST, BROOKLINE, MA 02446(617) 566-2200 Get Directions Write a Review

NPPES record last updated: September 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rebecca D Forkner Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. REBECCA D FORKNER PH.D. (NPI 1063720423) is an individual mental health provider in Brookline, Massachusetts and active in the NPI registry since September 2010. She has opted out of Medicare through March 29, 2028.

NPPES Registry Identity

NPI1063720423
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. REBECCA D FORKNERCredential: PH.D.
Location Address1415 BEACON STBrookline, MA 02446-4816
Mailing Address16 Durham St, Apt 2Boston, MA 02115-5301 · (617) 320-1553
Sole ProprietorYes
Enumeration DateSeptember 20, 2010
NPI 1063720423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1415 BEACON ST, Brookline, MA 02446

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Rebecca D Forkner Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 29, 2024 through March 29, 2028.

Opt-Out Effective DateMarch 29, 2024
Opt-Out In Effect ThroughMarch 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1415 BEACON ST
BROOKLINE, MA 02446
Counselor (Mental Health)
1415 BEACON ST
BROOKLINE, MA 02446
Social Worker (Clinical)
1415 BEACON ST
BROOKLINE, MA 02446
Counselor (Mental Health)
1415 BEACON ST
BROOKLINE, MA 02446
Marriage & Family Therapist
1415 BEACON ST, STE 120
BROOKLINE, MA 02446
Social Worker (Clinical)
1415 BEACON ST, SUITE 200
BROOKLINE, MA 02446
Counselor (Mental Health)
1415 BEACON ST
BROOKLINE, MA 02446
Psychologist (Clinical)
1415 BEACON ST, SUITE #304
BROOKLINE, MA 02446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Forkner's NPI number?

The NPI number for Rebecca Forkner is 1063720423. It was assigned to this individual provider in the NPPES registry on September 20, 2010.

Where is Rebecca Forkner located?

Rebecca Forkner practices at 1415 Beacon St, Brookline, MA 02446. The listed phone number is (617) 566-2200.

What is Rebecca Forkner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Rebecca Forkner enrolled in Medicare?

No. Rebecca Forkner has opted out of Medicare through March 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Rebecca Forkner was last updated on September 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.