Organization Active NPI

Forefront Telecare Inc

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1174035612
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FOREFRONT TELECARE INC
Practice address
1717 Main St Ste 5850
Dallas, TX 75201-7317
Phone
(972) 449-0540
NPI assigned
Oct 24, 2017
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Sara Vitullo
Title
Director of Payer Operation
Phone
(815) 735-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1717 Main St Ste 5850
Dallas, TX 75201-7317

Mailing address

1717 Main St Ste 5850
Dallas, TX 75201-7317
Phone (972) 449-0540

Other identifiers 1

IdentifierTypeStateIssuer
10026830800MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA, AL, MS, MO, IA, WY, HI, KY, ID, NM, CT, UT13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
O20180427000403 FL Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 67 practitioners
Practice locations: Tallahassee, FL; Okeechobee, FL
O20180509000228 LA Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 38 practitioners
Practice locations: Coushatta, LA; Wisner, LA; Springhill, LA; Homer, LA; Bogalusa, LA; Baton Rouge, LA; Ruston, LA
O20190129003043 AL Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 6 practitioners
Practice locations: Anniston, AL; Chatom, AL; Montgomery, AL
O20190612002030 MS Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 15 practitioners
Practice locations: Jackson, MS
O20190725000986 MO Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 3 practitioners
Practice locations: Warrensburg, MO; Saint Louis, MO; Licking, MO; Independence, MO; Carrollton, MO; Boonville, MO; Clinton, MO
O20190821004732 IA Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 34 practitioners
Practice locations: Des Moines, IA; Ottumwa, IA
O20201216002948 WY Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 1 practitioner
Practice locations: Casper, WY; Cheyenne, WY; Rawlins, WY; Rock Springs, WY
O20201216002985 HI Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI
O20201221000717 KY Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 9 practitioners
Practice locations: Lexington, KY
O20210114002329 ID Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 20 practitioners
Practice locations: Boise, ID; Coeur D Alene, ID
O20210127003253 NM Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 40 practitioners
Practice locations: Santa Fe, NM
O20210429001479 CT Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 2 practitioners
Practice locations: East Hampton, CT
O20210617003030 UT Part B Supplier - Clinic/Group Practice 9638319114 Receives reassigned benefits from 2 practitioners
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

300 W Clarendon Ave
Ste 240
Phoenix, AZ 85013
Phone (408) 508-4163

384 Bel Marin Keys Blvd
Novato, CA 94949
Phone (415) 381-1124

100 Court Ave
Ste 204
Des Moines, IA 50309

400 Locust St
Ste 400
Des Moines, IA 50309
Phone (515) 664-2681

10020 W Fairview Ave
Ste 104
Boise, ID 83704
Phone (954) 997-6781

808 N Curtis Rd
Boise, ID 83706
Phone (208) 376-5273

1125 N Division Ave
Sandpoint, ID 83864
Phone (208) 265-9299

3867 Plaza Tower Dr
#1
Baton Rouge, LA 70816

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

123 Free St
Ste 200
Portland, ME 04101

365 S Broadview St
Cape Girardeau, MO 63703
Phone (573) 335-2086

1120 Falcon Dr
Kennett, MO 63857
Phone (573) 888-1150

9909 Clayton Rd
Ste LL11
Saint Louis, MO 63124

403 Watercress Dr
Van Buren, MO 63965
Phone (573) 323-4282

100 W Thomas Dr
Waverly, MO 64096
Phone (660) 493-2232

200 American Metro Blvd
Ste 112
Trenton, NJ 08619

3500 Quakerbridge Rd
Ste 105
Trenton, NJ 08619

1920 Thomes Ave
Ste 610
Cheyenne, WY 82001
Phone (239) 354-7951

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 200

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.

View all 200

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1174035612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317",
            "telephone_number": "972-449-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317",
            "telephone_number": "972-449-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT TELECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "VITULLO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER OPERATION",
        "authorized_official_telephone_number": "815-735-8600"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026830800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.