Dr. Eli Michael Simong Forman, PHD
Dr. Eli Michael Simong Forman, PHD is a Mental Health Counselor in Leonia, New Jersey. Licensed in California, Maryland, New Jersey and New York. Registered with an NPI since 2006.
- Licensed in
- CA, MD, NJ, NY
- In the registry since
- 2006
- Specialties on file
- 5
What do these letters mean?
- PHD — Doctor of Philosophy
- A research doctorate. In healthcare it usually sits alongside a clinical licence.
Practice location Address checks out
431 Park AveLeonia, NJ 07605-1219
Phone: (201) 592-7388
Fax: (201) 592-6301
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 37F100059900 (NJ) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 5688633 (NY) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 0019 (MD) |
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence M038 (MD) |
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence MFC13681 (CA) |
Record details
| NPI number | 1033218714 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHD |
| Sole proprietor | No |
| NPI enumerated | September 21, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 431 Park Avenue, Leonia, NJ 07605-1219 |
Other providers in Leonia
-
Lillian E Corcoran, LPC
40 Fort Lee Rd, Leonia, NJ 07605-2229 · (201) 873-9027
-
Franceska Gustave
416 Washington Ter, Leonia, NJ 07605-1224 · (201) 377-8272