Dr. Eli Michael Simong Forman
PHD | Mental Health Counselor
431 Park Avenue, Leonia
New Jersey, 07605-1219
201-592-7388 201-592-6301
Maps & DirectionsDr. Eli Michael Simong Forman is a Leonia, New Jersey based counselor who is specialized as Mental Health Counselor. Active license number of Dr. Eli Michael Simong Forman is 37F100059900 for Marriage & Family Therapist in New Jersey. His current practice location is 431 Park Avenue, Leonia. Patients can book an appointment with him at 201-592-7388.
Dr. Eli Michael Simong Forman is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Dr. Eli Michael Simong Forman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Eli Michael Simong Forman |
| Specialization: | Mental Health Counselor |
| Gender: | Male |
| Credentials: | PHD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 431 Park Avenue, Leonia,
New Jersey, 07605-1219 |
| Phone: | 201-592-7388 |
| Fax: | 201-592-6301 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1033218714 |
| NPI Enumeration Date: | 21 Sep, 2006 |
| NPI Last Update On: | 11 Sep, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Eli Michael Simong Forman are as mentioned below.
| License Number | Specialization | State | Status | |
| 37F100059900 | Marriage & Family Therapist | New Jersey | Primary | |
| 5688633 | Mental Health Counselor | New York | Secondary | |
| 0019 | Professional Counselor | Maryland | Secondary | |
| M038 | Marriage & Family Therapist | Maryland | Secondary | |
| MFC13681 | Marriage & Family Therapist | California | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 431 Park Avenue,
Leonia, New Jersey |
| Zip: | 07605-1219 |
| Phone Number: | 201-592-7388 |
| Fax Number: | 201-592-6301 |
Patients can reach Dr. Eli Michael Simong Forman at
431 Park Avenue, Leonia, New Jersey or can
call to book an appointment on 201-592-7388.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.