HOLLY FORMAN-PATEL
NPI 1477709475
Marriage & Family Therapist in San Francisco, CA

Q: What is Holly Forman-patel's NPI number?

The NPI number for Holly Forman-patel is 1477709475. It was assigned to this individual provider in the NPPES registry on August 11, 2008. The provider is also known as Holly Forman.

Q: What is Holly Forman-patel's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Holly Forman-patel enrolled in Medicare?

No. Holly Forman-patel has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since August 11, 2008Opted out of Medicare · through Jan 1, 2028

1885 MISSION ST, SAN FRANCISCO, CA 94103(415) 554-1100 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Holly Forman-patel NPPES

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

HOLLY FORMAN-PATEL (NPI 1477709475) is an individual marriage & family therapist in San Francisco, California and active in the NPI registry since August 2008. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1477709475

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameHOLLY FORMAN-PATEL

Location Address1885 MISSION STSan Francisco, CA 94103-3501

Mailing Address3800 Coolidge AveOakland, CA 94602-3311

Phone(415) 554-1100

Sole ProprietorYes

Enumeration DateAugust 11, 2008

Last NPPES UpdateJune 1, 2016

✔ NPI 1477709475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1885 MISSION ST, San Francisco, CA 94103

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Other Names 1

Former Name (1)Holly Forman

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Holly Forman-patel 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

ALIDA J HEWITT L.C.S.W.

Social Worker (Clinical)

1885 MISSION ST
SAN FRANCISCO, CA 94103

San Francisco County (415) 540-1430

MS. KAREN LYNN CHADWICK MFT-I

Marriage & Family Therapist

1885 MISSION ST
SAN FRANCISCO, CA 94103

San Francisco County (415) 934-3467

OLA F COLEMON M.A.

Student in an Organized Health Care Education/Training Program

1885 MISSION ST, FIRST FLOOR/ MULTI
SAN FRANCISCO, CA 94103

San Francisco County (415) 449-0501

KATE B LOGAN MFTI

Counselor (Addiction (Substance Use Disorder))

1885 MISSION ST
SAN FRANCISCO, CA 94103

San Francisco County (415) 449-0546

MRS. CHARMAINE LAVERN HOGGATT BACHELORS

Counselor (Addiction (Substance Use Disorder))

1885 MISSION ST
SAN FRANCISCO, CA 94103

San Francisco County (415) 449-0501

TERRIE DIPAOLO

Counselor (Addiction (Substance Use Disorder))

1885 MISSION ST
SAN FRANCISCO, CA 94103

San Francisco County (415) 934-3491

MR. MICHAEL DENNIS JONES

Student in an Organized Health Care Education/Training Program

1885 MISSION ST
SAN FRANCISCO, CA 94103

San Francisco County (415) 554-1130

MR. JEFFREY DAVID MEYER

Counselor (Addiction (Substance Use Disorder))

1885 MISSION ST, 2ND FLOOR
SAN FRANCISCO, CA 94103

San Francisco County (415) 934-3453

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 Holly Forman-patel's NPI number?

The NPI number for Holly Forman-patel is 1477709475. It was assigned to this individual provider in the NPPES registry on August 11, 2008. The provider is also known as Holly Forman.

Where is Holly Forman-patel located?

Holly Forman-patel practices at 1885 Mission St, San Francisco, CA 94103. The listed phone number is (415) 554-1100.

What is Holly Forman-patel's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Holly Forman-patel enrolled in Medicare?

No. Holly Forman-patel has opted out of Medicare through January 1, 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 Holly Forman-patel was last updated on June 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.