Forest Institute of Professional Psychology

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2004033841 Issued in MO

Legal business name

FOREST INSTITUTE OF PROFESSIONAL PSYCHOLOGY

Practice address

1322 S Campbell Ave
Springfield, MO 65807-1445

Phone

(417) 893-7990

Fax

(417) 831-6839

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Baker, LMFT, PSYD

Title

Clinic Director

Phone

(417) 893-7994

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Forest Institute Clinic Doing business as

Locations

Practitioners 1

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

• Robert Allen King II, PSYD

  • Clinical Psychologist
  • Springfield, MO
  • NPI 1992729016
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1235184243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071445",
            "telephone_number": "417-893-7990",
            "fax_number": "417-831-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071445",
            "telephone_number": "417-893-7990",
            "fax_number": "417-831-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST INSTITUTE OF PROFESSIONAL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "417-893-7994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2004033841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507536803",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Institute Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Mary Elizabeth Foreman, ME, LPC
• Forensic Testing Services, LLC
• Forest Institute of Professional Psychology
• Kimberly A. Forister-Brown, LPC
• Kathy Forson, FNP-C
• Laura Kay Forsyth, NP
• Pamela Forsyth, PSY.D.
• Robert Duane Forsyth, PH.D.

• Clinical Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.