DR. SHEILA FORMAN PHD
NPI 1235418070
Psychologist - Clinical in Santa Monica, CA

Q: What is Sheila Forman's NPI number?

The NPI number for Sheila Forman is 1235418070. It was assigned to this individual provider in the NPPES registry on August 10, 2011.

Q: What is Sheila Forman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Sheila Forman enrolled in Medicare?

No. Sheila Forman has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Sheila Forman was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2011Opted out of Medicare · through Apr 1, 2027

2730 WILSHIRE BLVD, SUITE 620, SANTA MONICA, CA 90403(310) 828-8004(310) 828-6536 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Sheila Forman Phd NPPES

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

DR. SHEILA FORMAN PHD (NPI 1235418070) is an individual clinical provider in Santa Monica, California, licensed in California (PSY15265) and active in the NPI registry since August 2011. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235418070

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHEILA FORMANCredential: PHD

Location Address2730 WILSHIRE BLVD, SUITE 620Santa Monica, CA 90403-4743

Mailing Address2730 Wilshire Blvd, Suite 620Santa Monica, CA 90403-4743 · (310) 828-8004 · Fax (310) 828-6536

Phone(310) 828-8004

Fax(310) 828-6536

Sole ProprietorYes

Enumeration DateAugust 10, 2011

✔ NPI 1235418070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY15265

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2730 WILSHIRE BLVD, Santa Monica, CA 90403

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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. Sheila Forman Phd 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 April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. PABLO PAZMINO MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

2730 WILSHIRE BLVD, SUITE 500
SANTA MONICA, CA 90403

Los Angeles County (310) 453-3540

DR. KATJA D POHL PSY.D.

Psychologist (Health)

2730 WILSHIRE BLVD, SUITE 600
SANTA MONICA, CA 90403

Los Angeles County (310) 709-4582

JILL K. SMITH M.D.

Psychiatry & Neurology (Psychiatry)

2730 WILSHIRE BLVD, SUITE 660
SANTA MONICA, CA 90403

Los Angeles County (310) 453-9100

LEBOVIC, SCHWIMER AND GOLDBERG MEDICAL GROUP

Radiology (Diagnostic Radiology)

2730 WILSHIRE BLVD, #110
SANTA MONICA, CA 90403

Los Angeles County (310) 394-2761

COOPER OPTOMETRY

Optometrist

2730 WILSHIRE BLVD, STE 545
SANTA MONICA, CA 90403

Los Angeles County (310) 315-9122

MS. LAUREE E. MOSS M.S.W.

Social Worker (Clinical)

2730 WILSHIRE BLVD, SUITE 620
SANTA MONICA, CA 90403

Los Angeles County (310) 828-0234

DR. CONSTANCE SHAFRAN PHD

Psychologist (Clinical)

2730 WILSHIRE BLVD, SUITE 250
SANTA MONICA, CA 90403

Los Angeles County (310) 420-8300

DR. MICHAEL DAVID GREENWALD PH.D.

Psychologist (Clinical)

2730 WILSHIRE BLVD, SUITE 650
SANTA MONICA, CA 90403

Los Angeles County (310) 828-1809

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 Sheila Forman's NPI number?

The NPI number for Sheila Forman is 1235418070. It was assigned to this individual provider in the NPPES registry on August 10, 2011.

Where is Sheila Forman located?

Sheila Forman practices at 2730 Wilshire Blvd Suite 620, Santa Monica, CA 90403. The listed phone number is (310) 828-8004.

What is Sheila Forman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Sheila Forman enrolled in Medicare?

No. Sheila Forman has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sheila Forman was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.