Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Forma Integrated Healthcare

Organization Family Psychologist · NPI 1023964657

Forma Integrated Healthcare is a Family Psychologist in Las Vegas, Nevada. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
6

Practice location Address checks out

2655 S Rainbow Blvd Ste 410
Las Vegas, NV 89146-5100
Phone: (702) 726-9722
Fax: (702) 906-0067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Family Psychologist Taxonomy 103TF0000X
Wound Care Registered Nurse Taxonomy 163WW0000X
Family Medicine Physician Taxonomy 207Q00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1023964657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Uganiza — Ceo · (702) 531-4540
NPI enumeratedMarch 6, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address2655 S Rainbow Blvd Ste 410, Las Vegas, NV 89146-5100

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