Laura E. Forsyth, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY 17938 Issued in CA

Practice address

1601 Carmen Dr
Ste. 211
Camarillo, CA 93010-3105

Phone

(805) 795-2131

Fax

(805) 322-2103

NPI assigned

Dec 7, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Optima Home Health Inc

  • Home Health Agency
  • Simi Valley, CA
  • NPI 1659733558
  NPD (past)

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1083699557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR",
            "address_2": "STE. 211",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103105",
            "telephone_number": "805-795-2131",
            "fax_number": "805-322-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR",
            "address_2": "STE. 211",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103105",
            "telephone_number": "805-795-2131",
            "fax_number": "805-322-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTH",
        "first_name": "LAURA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY 17938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11701672",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPL 179380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Forbess, AMFT
• Joanna Santos Ford
• Hanna Rose Fordahl, RN
• Sarah Rose Forman
• Alexis Nicole Forrey, LMFT, APCC
• Forte RX Pharmacy
• Hany C Fouad, M.D.
• Aidan Fowler, AA
• Brittany Lee Fowler
• Mackenzie Fox

• Counseling Psychologist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.