DR. BEN FORMAN (NPI# 1558892711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558892711 |
| Entity Type | Individual |
| Full Name | DR. BEN FORMAN |
| Credential | PH.D. |
| Practice Address |
4843 Langdrum Ln Chevy Chase MD 20815-5412 |
| Practice Telephone | 3019860626 |
| Mailing Telephone | 3019860626 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2249 | MD | Behavioral Health & Social Service Providers |
| Street Address |
4843 LANGDRUM LN |
| City | CHEVY CHASE |
| State | MD |
| Zip Code | 20815-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
| 1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
| 1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
| 1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
| 1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
| 1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
| 1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
| 1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
| Find all providers in zip 20815 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636830 | Samantha Reaves | Psychologist | 8401 Connecticut Ave Ste 1120, Chevy Chase, MD 20815-5846 | 2020-10-15 |
| 1134470396 | Lynn Valarie Friedman | Psychologist | 5480 Wisconsin Ave Ste 206, Chevy Chase, MD 20815-3536 | 2012-09-27 |
| 1447535166 | Gillian Brooke Karp | Psychologist | 6821 Delaware St, Chevy Chase, MD 20815 | 2011-10-13 |
| 1225244791 | Rhona Lifshitz Johnston | Psychologist | 7312 Lynnhurst St, Chevy Chase, MD 20815-3104 | 2007-05-14 |
| 1932311479 | Veena Kapur | Psychologist | 4615 Morgan Dr, Chevy Chase, MD 20815-5314 | 2007-05-04 |
| 1831211846 | Joanna Lhulier | Psychologist | 5480 Wisconsin Ave Ste 204, Chevy Chase, MD 20815-3530 | 2007-04-03 |
| 1942325683 | Petra Alice Elder | Psychologist | 7013-a Brookville Road, Chevy Chase, MD 20815-3263 | 2007-03-20 |
| 1770633158 | Anne Newman | Psychologist | 5454 Wisconsin Ave Ste 1720, Chevy Chase, MD 20815-6905 | 2007-01-10 |
| 1346264264 | Bonnie Sheila Eisenberg | Psychologist | 3514 Glenmoor Dr, Chevy Chase, MD 20815-5638 | 2006-07-26 |
| 1861411852 | Cynthia Ann Rohrbeck | Psychologist | 4701 Willard Ave, Suite 217, Chevy Chase, MD 20815-4643 | 2006-07-19 |
| Find all providers in CHEVY CHASE | ||||
| City | CHEVY CHASE |
| Zip Code | 20815 |
Please comment or provide details below to improve the information on DR. BEN FORMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.