NPIMap

Organization Active NPI

Gary Forrister M.D. P.C.

  • Psychiatry Physician
  • Yarmouth Port, MA
National Provider Identifier
1013322064
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
78006 Issued in MA
Legal business name
GARY FORRISTER M.D. P.C.
Practice address
923 Route 6a Ste W
Yarmouth Port, MA 02675-2159
Phone
(774) 994-8376
Fax
(774) 994-8642
NPI assigned
Jun 29, 2014
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary Francis Forrister, M.D.NPI 1467402685
Title
President
Phone
(508) 240-7964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 78006 MA Primary

Addresses

Primary practice location

923 Route 6a Ste W
Yarmouth Port, MA 02675-2159

Mailing address

923 Route 6a Ste W
Yarmouth Port, MA 02675-2159
Phone (774) 994-8376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140927000277 MA Part B Supplier - Clinic/Group Practice 3779703699 Receives reassigned benefits from 1 practitioner
Practice locations: Yarmouth Port, MA

National Provider Directory

National Provider Directory

Locations

23 Bay State Ct
Brewster, MA 02631
Phone (508) 240-7964

923 Route 6A
Ste W
Yarmouth Port, MA 02675
Phone (774) 994-8376

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1013322064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 ROUTE 6A STE W",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752159",
            "telephone_number": "774-994-8376",
            "fax_number": "774-994-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 ROUTE 6A STE W",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752159",
            "telephone_number": "774-994-8376",
            "fax_number": "774-994-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY FORRISTER M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-29",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "FORRISTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-240-7964",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "78006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yarmouth Port, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.