Laura G Forman, Psy.D, Fapa, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LAURA G FORMAN, PSY.D, FAPA, LLC

Practice address

129 W Virginia Beach Blvd # 204B
Norfolk, VA 23510-2030

Phone

(757) 550-1735

Fax

(757) 622-4033

NPI assigned

May 2, 2022

Organization subpart

No

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

Authorized official

Name

Laura G Forman, PSY.DNPI 1346322674

Title

Owner

Phone

(757) 550-1735

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura G Forman, PHD

  • Clinical Psychologist
  • Norfolk, VA
  • NPI 1346322674
  Medicare reassignment NPD Authorized official
• Eileen Marie Osgood, LCSW

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1215016464
  NPD (past)
• Susan Hobbs Stones, LCSW

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1659388924
  NPD (past)

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1376288571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W VIRGINIA BEACH BLVD # 204B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030",
            "telephone_number": "757-550-1735",
            "fax_number": "757-622-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W VIRGINIA BEACH BLVD # 204B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102030",
            "telephone_number": "757-550-1735",
            "fax_number": "757-622-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA G FORMAN, PSY.D, FAPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-550-1735",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drlauraformanpsyd.com",
            "affiliation": "N",
            "endpointDescription": "office  information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "129 W Virginia Beach Blvd # 204B",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235102030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rosiris Latoni-Villar, RDH
• Debra Laughlin, CRNA
• Emily J Laughlin, PA-C
• Shamecka Smiley Laughton, LMSW
• Laura Bonini LCSW, PLLC
• Laura Garibay
• Laura Meadows, Lip PLLC
• Laura Meadows, Lip PLLC
• Corrine Lauria
• Jenna R. Lautenbacher, WHNP

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.