DR. ELLEN SARI FORMAN (NPI# 1861607814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861607814 |
| Entity Type | Individual |
| Full Name | DR. ELLEN SARI FORMAN |
| Credential | PHD,LCAT,LMHC,CASAC, |
| Practice Address |
430 E Allen St #7 Hudson NY 12534-2423 |
| Practice Telephone | 5188287400 |
| Practice Fax Number | 5183291752 |
| Mailing Telephone | 5188287400 |
| Mailing Fax Number | 5183291752 |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2009-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
002589 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE SHIELD OF NE NY | 000412063001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518459296 | Ellen Forman | Social Worker | 55 Fruit Street, Wac 037, Boston, MA 02114 | 2018-05-30 |
| Street Address |
430 E ALLEN ST #7 |
| City | HUDSON |
| State | NY |
| Zip Code | 12534-2423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053349340 | Richard Edward Valliere | Social Worker | 430 E Allen St, Hudson, NY 12534-2423 | 2006-06-28 |
| 1326668690 | Danielle Hilt | Counselor | 430 E Allen St, Hudson, NY 12534-2576 | 2020-04-16 |
| 1477914364 | Clearwater Counseling Inc. | Community/Behavioral Health | 430 E Allen St, Hudson, NY 12534-2423 | 2016-03-19 |
| 1518337625 | Christie Craigie-carter | Counselor | 430 E Allen St, Hudson, NY 12534-2423 | 2015-10-01 |
| 1780024729 | Alexander Jay Schneider | Counselor | 430 E Allen St, Suite #3, Hudson, NY 12534-2423 | 2013-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426446 | Sharyn Ann Flesher | Registered Nurse | 131 Union Turnpike, Columbia-greene Education Center, Hudson, NY 12534 | 2015-05-08 |
| 1205239233 | Rachel N Lopez | Nurse Practitioner | 67 Prospect Avenue, Suite 250, Hudson, NY 12534 | 2014-10-05 |
| 1649601535 | Joan Delisca Groll | Registered Nurse | 215 Harry Howard Avenue, Hudson, NY 12534 | 2013-12-03 |
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1366751653 | Carri Coons | Licensed Practical Nurse | 140 Maple Lane Lot 85, Husdon, NY 12534 | 2010-10-04 |
| 1013244185 | Richard B Weininger | Internal Medicine | 125 Millbrook Road, Hudson, NY 12534 | 2009-11-11 |
| 1417196155 | Triform Enterprises Ltd. | Day Training, Developmentally Disabled Services | 20 Triform Road, Hudson, NY 12534 | 2009-02-19 |
| 1881854966 | Foot Specialist Associates P.C. | Podiatrist | 540 Joslen Boulevard, Hudson, NY 12534 | 2008-06-12 |
| 1659558989 | Gary L Stoller | Dentist | 5 Mckinstry Pl, Hudson, NY 12534 | 2008-01-29 |
| 1255523502 | Pulcher & Sacco Inc | Bus | 469 Fairview Ave, Hudson, NY 12534 | 2007-08-10 |
| Find all providers in zip 12534 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780786 | Whitestone Counseling of Nh | Counselor | 32 Glasgow Cir, Hudson, NH 03051-3759 | 2020-08-12 |
| 1578187860 | Lorraine Coley Gray | Counselor | 442 Union St, Hudson, NY 12534-2427 | 2020-06-02 |
| 1124667878 | Sarah Antes | Counselor | 118 Parmelee Dr, Hudson, OH 44236-3428 | 2019-12-29 |
| 1508414905 | Ajs Mental Health Counseling Pllc | Counselor | 335 Roxbury Rd, Hudson, NY 12534-3624 | 2019-08-28 |
| 1992279061 | Adam Mintz | Counselor | 45 Main St Ste 403, Hudson, MA 01749-2166 | 2019-01-11 |
| 1518443589 | Ryan James Hebert | Counselor | 14 Blueberry Ln, Hudson, MA 01749-2861 | 2018-07-12 |
| 1659881605 | Alanna Eileen Debany | Counselor | 71 Prospect Ave # 5b, Hudson, NY 12534-2907 | 2017-10-04 |
| 1336663830 | John Peter Cahill | Counselor | 325 Columbia St Ste 300, Hudson, NY 12534-1931 | 2017-07-27 |
| 1598203473 | Kara Elizabeth Poland | Counselor | 38a Winslow Farm Rd, Hudson, NH 03051-5330 | 2017-02-10 |
| 1508315433 | Rachel Devita | Counselor | 956 Fox Hollow Dr, Hudson, NH 03051-4889 | 2016-10-04 |
| Find all providers in HUDSON | ||||
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| 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.