MARY SCHULTZ FORMAN APRN
NPI 1164868030
Clinical Nurse Specialist - Psychiatric/Mental Health in West Haven, CT
NPI Status: Active since May 17, 2013
Contact Information
415 MAIN ST
WEST HAVEN, CT
ZIP 06516
Phone: (203) 931-1184
Fax: (203) 931-0063
- Individual
- Female
- Clinical Nurse Specialist
- Psychiatric/Mental Health
- Accepts Insurance
About MARY FORMAN
This page provides the complete NPI Profile along with additional information for Mary Forman, a provider established in West Haven, Connecticut with a medical specialization in Clinical Nurse Specialist, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1164868030 assigned on May 2013. The practitioner's primary taxonomy code is 364SP0808X with license number 004082 (CT). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1164868030
- Provider Name
- MARY SCHULTZ FORMAN APRN
- Other Name
- MARY S FORMAN
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 415 MAIN ST WEST HAVEN, CT 06516
- Location Phone
- (203) 931-1184
- Location Fax
- (203) 931-0063
- Mailing Address
- 661 EAST ST LITCHFIELD, CT 06759
- Mailing Phone
- (860) 733-2828
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-17-2013
- Last Update Date
- 05-17-2013
- Code Navigator
A Clinical Nurse Specialist (CNS) like Mary Forman is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Nurse Specialist Psychiatric/Mental Health
- Taxonomy Code
- 364SP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 004082
- License State
- CT
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164868030, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WEST HAVEN, CT 06516
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164868030, enumerated as an "individual" on May 17, 2013.
The provider is located at 415 MAIN ST WEST HAVEN, CT 06516 and the phone number is (203) 931-1184.
Clinical Nurse Specialist with taxonomy code 364SP0808X and a focus in Psychiatric/Mental Health.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
