LAURA G FORMAN, PSY.D, FAPA, LLC
NPI 1376288571
Psychologist - Clinical in Norfolk, VA

Active since May 02, 2022
129 W VIRGINIA BEACH BLVD # 204B, NORFOLK, VA 23510(757) 550-1735(757) 622-4033 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Laura G Forman, Psy.d, Fapa, Llc NPPES

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

LAURA G FORMAN, PSY.D, FAPA, LLC (NPI 1376288571) is a healthcare organization registered as a clinical in Norfolk, Virginia and active in the NPI registry since May 2022. The organization lists Laura G Forman, Owner, as its authorized official.

NPPES Registry Identity

NPI1376288571
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLAURA G FORMAN, PSY.D, FAPA, LLC
Location Address129 W VIRGINIA BEACH BLVD # 204BNorfolk, VA 23510-2030
Mailing Address129 W Virginia Beach Blvd # 204bNorfolk, VA 23510-2030 · (757) 550-1735 · Fax (757) 622-4033
Fax(757) 622-4033
Organization SubpartNo
Authorized OfficialLaura G FormanOwner · (757) 550-1735
Enumeration DateMay 2, 2022
Last NPPES UpdateMay 3, 2022
NPPES CertifiedMay 3, 2022
✔ NPI 1376288571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
129 W VIRGINIA BEACH BLVD # 204B, Norfolk, VA 23510

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura G Forman, Psy.d, Fapa, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Laura G Forman, Psy.D, Fapa, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1346322674
327 W 21ST ST SUITE 205
Norfolk, VA 23517
(757) 622-9852
✔ PECOS0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Laura G Forman, Psy.D, Fapa, LLC's NPI number?

The NPI number for Laura G Forman, Psy.D, Fapa, LLC is 1376288571. It was assigned to this organization in the NPPES registry on May 2, 2022.

Where is Laura G Forman, Psy.D, Fapa, LLC located?

Laura G Forman, Psy.D, Fapa, LLC is located at 129 W Virginia Beach Blvd # 204B, Norfolk, VA 23510. The listed phone number is (757) 550-1735.

What is Laura G Forman, Psy.D, Fapa, LLC's specialty?

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

Is Laura G Forman, Psy.D, Fapa, LLC enrolled in Medicare?

Yes. Laura G Forman, Psy.D, Fapa, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laura G Forman, Psy.D, Fapa, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Laura G Forman, Psy.D, Fapa, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Laura G Forman, Psy.D, Fapa, LLC was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.