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SAMANTHA FORMAN
NPI 1518601392
Marriage & Family Therapist in Oakland, CA

Active since April 26, 2022
166 SANTA CLARA AVE STE 205, OAKLAND, CA 94610(510) 601-1929(510) 660-1194 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 10, 2023, Apr 26, 2022 (2 updates tracked since 2022).

About Samantha Forman NPPES

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

SAMANTHA FORMAN (NPI 1518601392) is an individual marriage & family therapist in Oakland, California, licensed in California (139159) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1518601392
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSAMANTHA FORMAN
Location Address166 SANTA CLARA AVE STE 205Oakland, CA 94610-1323
Mailing Address281 Fawn DrSan Anselmo, CA 94960-1159 · (415) 717-9405
Phone(510) 601-1929
Fax(510) 660-1194
Sole ProprietorYes
Enumeration DateApril 26, 2022
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1518601392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 139159✔ Licensed in CO · 0014462
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0020808 (CO)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
166 SANTA CLARA AVE STE 205, Oakland, CA 94610
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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.

CHONG-YOU LIN
Marriage & Family Therapist
166 SANTA CLARA AVE STE 205
OAKLAND, CA 94610
Alameda County (510) 601-1929
ALISA J ROTHMAN
Marriage & Family Therapist
166 SANTA CLARA AVE STE 205
OAKLAND, CA 94610
Alameda County (510) 601-1929
ANNIE LEAH LESNY
Counselor (Mental Health)
166 SANTA CLARA AVE STE 205
OAKLAND, CA 94610
Alameda County (510) 601-1929
RACHEL BUYER
Student in an Organized Health Care Education/Training Program
166 SANTA CLARA AVE STE 205
OAKLAND, CA 94610
Alameda County (510) 601-1929
ALEXANDRIA CHRISTOPULOS BA, AA
Student in an Organized Health Care Education/Training Program
166 SANTA CLARA AVE STE 205
OAKLAND, CA 94610
Alameda County (510) 601-1929
GABRIELLA JULIET SNIDER
Student in an Organized Health Care Education/Training Program
166 SANTA CLARA AVE STE 205
OAKLAND, CA 94610
Alameda County (510) 601-1929
JEAN DONABEDIAN
Marriage & Family Therapist
166 SANTA CLARA AVE STE 205
OAKLAND, CA 94610
Alameda County (510) 601-1929
ALYSSA MEGAN FELDSINE
Student in an Organized Health Care Education/Training Program
166 SANTA CLARA AVE STE 205
OAKLAND, CA 94610
Alameda County (510) 601-1929

Frequently Asked Questions

What is Samantha Forman's NPI number?

The NPI number assigned to this healthcare provider is 1518601392, enumerated as an "individual" on April 26, 2022.

Where is the provider located?

The provider is located at 166 SANTA CLARA AVE STE 205 OAKLAND, CA 94610 and the phone number is (510) 601-1929.

What is the provider's specialty?

Marriage & Family Therapist with taxonomy code 106H00000X.