Rebecca D Forkner, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1415 Beacon St
Brookline, MA 02446-4816

Phone

(617) 566-2200

NPI assigned

Sep 20, 2010

Last updated

Sep 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 29, 2024 through Mar 29, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rebecca D. Forkner, PH.D., LLC

  • Clinical Psychologist
  • Boston, MA
  • NPI 1407513609
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1063720423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DURHAM ST",
            "address_2": "APT 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155301",
            "telephone_number": "617-320-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464816",
            "telephone_number": "617-566-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKNER",
        "first_name": "REBECCA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Fogel, LMFT, LMHC
• Mya Fonarov, LICSW
• Ernest Oliveira Fonseca, M.ED.
• Robert Casey Ford, PT
• Thomas James Ford, DDS
• Samuel Forman, M.D.
• Yulika Forman, LMHC
• Priscilla Forney
• Wendy Louise Forrester, LMFT
• Kathryn Forth

• Mental Health Counselor in Brookline, MA
• Providers in Brookline, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.