Rebecca D. Forkner, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

REBECCA D. FORKNER, PH.D., LLC

Practice address

16 Durham St
Boston, MA 02115-5301

Phone

(617) 320-1553

NPI assigned

Nov 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Forkner, PH.D.NPI 1063720423

Title

Owner

Phone

(617) 320-1553

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rebecca D Forkner, PH.D.

  • Mental Health Counselor
  • Brookline, MA
  • NPI 1063720423
  NPD Authorized official

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1407513609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DURHAM ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155301",
            "telephone_number": "617-320-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DURHAM ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155301",
            "telephone_number": "617-320-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA D. FORKNER, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "FORKNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-320-1553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Reardon, RN, WHNP-BC
• McCauley Grace Reardon, DMD
• Paul Kirkpatrick Reardon
• Rachel Reardon, MD
• Allison Taylor Cook Reaves, M.D.
• Rebecca Eddy Muccilli Psy.D., LLC
• Rebecca Girard Clinical Social Work
• Anuradha Saokar Rebello, MD
• Gleeson Napomociano Rebello, MD
• Melanie Rebello, PT, DPT

• Clinical Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.