David Forrest, LPHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY.00003934 Issued in WA

Practice address

7914 Densmore Ave N Apt 306
Seattle, WA 98103-4948

Phone

(206) 525-5039

NPI assigned

Mar 31, 2006

Sex

Male

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

Enrolled in WA

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.

Enrollment records 1

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  WA

  Medicare reassignment NPD
• Front Street Clinic Inc

  • Psychologist
  • Poulsbo, WA
  • NPI 1457532913
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1174584841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 DENSMORE AVE N, APT 306",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034948",
            "telephone_number": "206-525-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 DENSMORE AVE N APT 306",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034948",
            "telephone_number": "206-525-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LPHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY.00003934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M Formea
• Ellen Forney
• Lauren Forney
• Elizabeth Blessing Fornoff, RN
• Agnes Judith Forras, LMHC
• Kyle M. Forrest, LMHC
• Michelle Karen Forrest, MHCA
• Nicole Forrest
• Samantha Lorraine Forrest, MD
• Michael John Forrestal, RN

• Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.