Active NPI
Cressida A Forester, PSY. D.
- Clinical Psychologist
- Sonoma, CA
National Provider Identifier
1891835302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 18902
- Practice address
- 710 West Napa St
Ste 2
Sonoma, CA 95476 - Phone
- (707) 934-7659
- NPI assigned
- Feb 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 18902 | CA | |
| Clinical Psychologist | 103TC0700X | PSY 18902 | CA | Primary |
Addresses
Primary practice location
710 West Napa St
Ste 2
Sonoma, CA 95476
Mailing address
PO Box 1352
Boyes Hot Springs, CA 95416-1352
Phone (415) 409-0388
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18902 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1891835302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1352",
"city": "BOYES HOT SPRINGS",
"state": "CA",
"postal_code": "954161352",
"telephone_number": "415-409-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 WEST NAPA ST",
"address_2": "STE 2",
"city": "SONOMA",
"state": "CA",
"postal_code": "95476",
"telephone_number": "707-934-7659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORESTER",
"first_name": "CRESSIDA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 18902",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 18902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.