MARK D FORMAN PHD
NPI 1427354414
Psychologist in San Jose, CA
About Mark D Forman Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK D FORMAN PHD (NPI 1427354414) is an individual psychologist in San Jose, California, licensed in California (PSY23310) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark D Forman Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427354414, enumerated as an "individual" on February 08, 2011.
The provider is located at 1769 PARK AVE SUITE 110 SAN JOSE, CA 95126 and the phone number is (408) 841-7443.
Psychologist with taxonomy code 103T00000X.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.