Jennifer a. Forsberg, PH.D., PLLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

32478 Issued in TX

Legal business name

JENNIFER A. FORSBERG, PH.D., PLLC

Practice address

8800 Village Dr
Suite 209
San Antonio, TX 78217-5412

Phone

(210) 202-0100

NPI assigned

Mar 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Forsberg, PH.D.

Title

President

Phone

(512) 636-9770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1134589328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 VILLAGE DR",
            "address_2": "SUITE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175412",
            "telephone_number": "210-202-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 VILLAGE DR",
            "address_2": "SUITE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175412",
            "telephone_number": "210-202-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER A. FORSBERG, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "FORSBERG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-636-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "32478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.