Individual provider Active NPI

Tina Forgas, CPSW

  • Peer Specialist
  • Silver City, NM
National Provider Identifier
1285347435
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
1473 Issued in NM
Practice address
610 N Silver St
Silver City, NM 88061-6779
Phone
(575) 956-6131
NPI assigned
Jan 3, 2023
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 1473 NM Primary

Addresses

Primary practice location

610 N Silver St
Silver City, NM 88061-6779

Mailing address

605 Stone St
Santa Clara, NM 88026-5190
Phone (575) 956-6131

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL spinhousingnm@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1473NMMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1285347435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 STONE ST",
            "city": "SANTA CLARA",
            "state": "NM",
            "postal_code": "880265190",
            "telephone_number": "575-956-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N SILVER ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616779",
            "telephone_number": "575-956-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGAS",
        "first_name": "TINA",
        "credential": "CPSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "spinhousingnm@gmail.com",
            "affiliation": "N",
            "address_1": "610 N Silver St",
            "city": "Silver City",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880616779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.