Individual provider Active NPI

Emma Louise Forbes-Jones, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Rochester, NY
National Provider Identifier
1184765455
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
016968-1 Issued in NY
Practice address
36 Winthrop St
Rochester, NY 14607-1326
Phone
(585) 455-4202
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 016968-1 NY Primary

Addresses

Primary practice location

36 Winthrop St
Rochester, NY 14607-1326

Mailing address

116 Chadbourne Rd
Rochester, NY 14618-1137
Phone (585) 455-4202

Medicare participation

Medicare enrollment files
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 Oct 4, 2019 through Oct 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
016968-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184765455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CHADBOURNE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181137",
            "telephone_number": "585-455-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WINTHROP ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071326",
            "telephone_number": "585-455-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES-JONES",
        "first_name": "EMMA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "016968-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.