DR. REBEKAH FORMAN PH.D.
NPI 1982041364
Psychologist - Clinical in Richmond, VA

Q: What is Rebekah Forman's NPI number?

The NPI number for Rebekah Forman is 1982041364. It was assigned to this individual provider in the NPPES registry on May 26, 2013.

Q: What is Rebekah Forman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rebekah Forman was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 26, 2013

1300 E MARSHALL ST, RICHMOND, VA 23298(804) 828-4231 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2018, Mar 21, 2018 (2 updates tracked since 2018).

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About Dr. Rebekah Forman Ph.d. NPPES

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

DR. REBEKAH FORMAN PH.D. (NPI 1982041364) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0810005256) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1982041364

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. REBEKAH FORMANCredential: PH.D.

Location Address1300 E MARSHALL STRichmond, VA 23298-5054

Mailing Address3126 W Cary St # 404Richmond, VA 23221-3504 · (804) 554-1760

Phone(804) 828-4231

Sole ProprietorYes

Enumeration DateMay 26, 2013

Last NPPES UpdateMarch 26, 20182 updates tracked since enumeration

✔ NPI 1982041364 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 VA · 0810005256

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.

1300 E MARSHALL ST, Richmond, VA 23298

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Other Identifiers 1

OtherZLF120196911WA · Regence Blue Shield Id Number

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.

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