Fatu Fornah

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

437701001 Issued in VA

Practice address

2000 N Beauregard St Apt 115
Alexandria, VA 22311-4633

Phone

(703) 991-9553

Fax

(703) 997-5971

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robertson's Homecare and Residential Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Alexandria, VA
  • NPI 1932882503
  NPD Authorized official
• Allstar Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Annandale, VA
  • NPI 1952112997
  NPD
• RHC Services, LLC

  • Home Health Agency
  • Annandale, VA
  • NPI 1023829066
  NPD

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1164116737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MARSHALLS VENTURE CT",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073347",
            "telephone_number": "703-991-9553",
            "fax_number": "703-997-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N BEAUREGARD ST APT 115",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223114633",
            "telephone_number": "703-991-9553",
            "fax_number": "703-997-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNAH",
        "first_name": "FATU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "VA",
            "license": "437701001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan C Ford
• Rashell Ford
• Forest Cosmetic & Family Dentistry
• Forest Family Dentistry, PLLC
• Forever Family Home Care LLC
• Barbara Grimm Fornoff, LCSW
• Sheilia Erin Forrer
• Debora Alis Forrester
• Ana Forsberg
• Frances Kay Forsythe, NP

• Intellectual & Developmental Disabilities Psychologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Intellectual & Developmental Disabilities Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.