Active NPI
Danielle Forbes, PHD
- Clinical Psychologist
- Cambridge, MA
National Provider Identifier
1679706162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11717
- Practice address
- 2557 Massachusetts Ave # 1C
Cambridge, MA 02140-1020 - Phone
- (857) 626-9404
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11717 | MA | Primary |
Addresses
Primary practice location
2557 Massachusetts Ave # 1C
Cambridge, MA 02140-1020
Mailing address
74 Jaques St Apt 2
Somerville, MA 02145-1813
Phone (617) 901-6299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11717 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1679706162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 JAQUES ST APT 2",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021451813",
"telephone_number": "617-901-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2557 MASSACHUSETTS AVE # 1C",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021401020",
"telephone_number": "857-626-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.