Dr. 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:
08 Jul, 2007
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
37F100059900
Marriage & Family Therapist
New Jersey
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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.