Melisa Forman, A.T.R., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

007920 Issued in PA

Practice address

350 S Main St
Suite #213
Doylestown, PA 18901-4871

Phone

(215) 345-8828

Fax

(215) 348-3645

NPI assigned

Dec 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1265761258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "address_2": "SUITE #213",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014871",
            "telephone_number": "215-345-8828",
            "fax_number": "215-348-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "address_2": "SUITE #213",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014871",
            "telephone_number": "215-345-8828",
            "fax_number": "215-348-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "MELISA",
        "name_prefix": "Ms.",
        "credential": "A.T.R., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001617",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": "08-011",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "007920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Fleck, RD, LDN
• Paul J Foley III, MD
• Seth M Foreman, PT
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• Julia Fornatto
• Rachele Ann Fortini
• Lauren Foster, LCSW
• Racha Fouad, DMD
• Foundations Behavioral Health

• Professional Counselor in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.