John E Forhetz, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071002061 Issued in IL

Practice address

2 Meadow Heights Profesional Park
Collinsville, IL 62234-4487

Phone

(618) 344-7105

Fax

(618) 344-2516

NPI assigned

Mar 4, 2006

Last updated

Apr 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• John E Forhetz PHD

  • Clinical Psychologist
  • Collinsville, IL
  • NPI 1407928302
  NPD (past) Authorized official

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

{
    "created_epoch": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1326015603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2B MEADOW HEIGHTS PROFESIONAL PARK",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344487",
            "telephone_number": "618-344-7105",
            "fax_number": "618-344-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEADOW HEIGHTS PROFESIONAL PARK",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344487",
            "telephone_number": "618-344-7105",
            "fax_number": "618-344-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORHETZ",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-04",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071002061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Finding Balance Clinical Services Inc.
• First Caremerica (Collinsville Care Center)
• Kimberly Flowers, PHARM.D.
• Rashieka Fonville, MSW
• Zachary Marcus Ford, RN, FNP-C
• Rebecca Jayne Fornero, D.D.S.
• Anthony Webster Fourdyce, DC
• Fox Med-Equip Service Corp
• Charles L Friedman, MD
• Adam Fritzgerald, DMD

• Clinical Psychologist in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.