Forest Tu Pavel, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005068 Issued in VA

Practice address

1301 N Warehouse Rd
Fort Leavenworth, KS 66027

Phone

(913) 758-3757

NPI assigned

Apr 14, 2011

Last updated

Jun 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Megan Oetinger Psy.D., LLC

  • Clinical Psychologist
  • Manhattan, KS
  • NPI 1033375761
  NPD (past)

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1053601724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 NW 63RD TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641514826",
            "telephone_number": "540-421-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N WAREHOUSE RD",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "66027",
            "telephone_number": "913-758-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVEL",
        "first_name": "FOREST",
        "middle_name": "TU",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "6192",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2022013155",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "03100",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otejiri Ohwovoriole
• Stephanie Pappas-Hudelson, RN, IBCLC
• Kyle Edward Parks, DPT
• Prem Parmar, MD
• Kirsty Anne Parvin, RN
• Annette Peare, LSCSW
• Jacqueline Sue Perdue-Dorathy, LPN
• Eduardo Miguel Perez, LPN
• Robert Louis Petrone, PH.D., MPH, PA-C
• Courtney Pippin, PSYD

• Clinical Psychologist in Fort Leavenworth, KS
• Providers in Fort Leavenworth, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.