NPPES file of Aug 9, 2026

Mary Schultz Forman, APRN

Psychiatric/Mental Health Clinical Nurse Specialist · West Haven, CT

Mary Schultz Forman, APRN is a psychiatric/mental health clinical nurse specialist with a practice address in West Haven, Connecticut, and NPI 1164868030, issued on May 17, 2013. Check the license (Connecticut 004082, as entered in NPPES) with the Connecticut board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1164868030
Name
Mary Schultz Forman
Credential
APRN
Primary taxonomy
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X
License number
004082 CT
Self-reported in NPPES; status is on the state search
Practice location
415 Main St, West Haven, CT 06516
Phone
(203) 931-1184
Enumerated
May 17, 2013
Record last updated
May 17, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(203) 931-0063
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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8 nearest psychiatric/mental health clinical nurse specialist records → All 39 in Connecticut → Look up another NPI →

Also registered at 415 Main St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Dontae AbbateProfessional Counselor1538090469
  2. Jordan Baronski, LPCMental Health Counselor1982245486
  3. Muna BhandariProfessional Counselor1316626773
  4. Kaitlyn Bruneau, LPCMental Health Counselor1447033717
  5. Rebecca DansoMental Health Counselor1578253019
  6. Patrick Davin, LPCProfessional Counselor1982115747

Verify Mary Schultz Forman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Connecticut board licenses this profession
    Search for license 004082    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Connecticut license search

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Mary Schultz Forman among 39 psychiatric/mental health clinical nurse specialist records in Connecticut

Mary Schultz Forman, APRN is one of 39 psychiatric/mental health clinical nurse specialist records with a practice address in Connecticut. 51% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2013, is newer than 82% of them.

  • NPI issued2013 · 82% of these records are older, 13% newer
  • In a Medicare fileNo · 51% of these records are
  • In the CMS Doctors and Clinicians fileNo · 26% of these records are
  • Record last updated2013 · 69% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 364SP0808X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatric/Mental Health Clinical Nurse Specialist providers in Connecticut

There are 39 psychiatric/mental health clinical nurse specialist records in Connecticut. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 39 in Connecticut → Every provider in West Haven → Psychiatric/Mental Health Clinical Nurse Specialist nationwide →

The 8 psychiatric/mental health clinical nurse specialist records with the nearest ZIP codes

  1. Barbara Johnson, RN, MSWest Haven, CT 065161427149822
  2. Kathleen Koenig, APRNNew Haven, CT 065191295795243
  3. Robert Krause, APRNNew Haven, CT 065111811911795
  4. Maja Witwicka, APRNNew Haven, CT 065101477127587
  5. Brian Geyser, APRNWallingford, CT 064921598787087
  6. Linda Demas, M.S.N., APRNOld Saybrook, CT 064751669519724
  7. Margaret GarrisonOld Saybrook, CT 064751790974376
  8. David Kimble, RN CNSOld Saybrook, CT 064751457426058

Common questions

What is Mary Schultz Forman, APRN's NPI number?

Mary Schultz Forman, APRN's National Provider Identifier (NPI) is 1164868030, issued on May 17, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Mary Schultz Forman, APRN located?

The NPPES record lists a practice address at 415 Main St, West Haven, CT, 06516. Phone: (203) 931-1184. Providers update this record themselves, so call before visiting.

How can I verify Mary Schultz Forman, APRN's license?

NPPES lists Connecticut license number 004082, as entered by the provider. Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.