Forefront-Khatkhate Medical Services PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FOREFRONT-KHATKHATE MEDICAL SERVICES PC

Practice address

600 S 2ND St Ste 404
Springfield, IL 62704-2542

Phone

(510) 201-0190

NPI assigned

Aug 1, 2019

Organization subpart

No

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

Authorized official

Name

Sherry Kovacs

Title

Assistant/Provider Enrollment

Phone

(949) 552-5232

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jami Lyn Ross, LCSW, LICSW, CCTP,

  • Clinical Social Worker
  • Irvine, CA
  • NPI 1497178453
  NPD

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565395200000",
    "number": "1164076683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 OAK CYN STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926185230",
            "telephone_number": "949-552-5232",
            "fax_number": "888-972-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 2ND ST STE 404",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042542",
            "telephone_number": "510-201-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT-KHATKHATE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-10",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "ASSISTANT/PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "949-552-5232"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "036-119096",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee Lynn Forbes, PTA
• David Lee Forbes, LCPC
• Stacy Marie Forbes, D.O.
• Rebecca Ann Ford, PMHNP
• Thomas Paul Ford, D.M.D.
• Nicolas A. Forero, M.D.
• Stephanie Forgas, LCPC
• Shawna Megan Forinash, LCSW
• Megan J Forshee, D.O.
• Fort Health Medical Group PA

• Psychiatry Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2019; 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.