Individual provider Active NPI

Anique Kerry-Ann Forrester, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1497964217
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MT190668 Issued in PA
Practice address
111 S 11TH St
Suite 2170
Philadelphia, PA 19107-4824
Phone
(215) 955-6610
Fax
(215) 503-4053
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

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
Psychiatry Physician 2084P0800X MT190668 PA Primary

Addresses

Primary practice location

111 S 11TH St
Suite 2170
Philadelphia, PA 19107-4824

Mailing address

1800 Benson LN
District Heights, MD 20747-2534
Phone (301) 523-1069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130904000458 MD Practitioner - Psychiatry 9234372608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Howard University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Psychiatry Associates PAGroup PAC ID 1052208253, 54 clinicians

Practice addresses (Care Compare)

701 W Pratt St
W
Baltimore, MD 21201-1023
Phone (410) 328-5881

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT190668PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Psychiatry Associates, PA Psychiatry CurrentSince Jul 24, 2013 Accepting new patients
University of Maryland Psychiatry Associates PA PastSince Oct 12, 2025 Accepting new patients

Locations

701 W Pratt St
Baltimore, MD 21201
Phone (410) 328-5881

Interoperability endpoints

  • Direct secure messaging: aforrester18735@direct.umm.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497964217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BENSON LN",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472534",
            "telephone_number": "301-523-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 2170",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-6610",
            "fax_number": "215-503-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "ANIQUE",
        "middle_name": "KERRY-ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT190668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.