John E Forhetz PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JOHN E FORHETZ PHD

Practice address

2B Meadow Heights Professional Park
Collinsville, IL 62234

Phone

(618) 344-7105

Fax

(618) 344-2516

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

John E Forhetz, PHDNPI 1326015603

Title

Owner

Phone

(618) 344-7105

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• John E Forhetz, PHD

  • Clinical Psychologist
  • Collinsville, IL
  • NPI 1326015603
  NPD (past) Authorized official
• Roger Gunther, LCSW

  • Clinical Social Worker
  • Edwardsville, IL
  • NPI 1427017359
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407928302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103B SOUTHPOINTE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253651",
            "telephone_number": "618-692-9640",
            "fax_number": "618-692-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2B MEADOW HEIGHTS PROFESSIONAL PARK",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "62234",
            "telephone_number": "618-344-7105",
            "fax_number": "618-344-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E FORHETZ PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORHETZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-344-7105",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Hynes, PA-C
• Samantha Rae Jackson, FNP-BC
• James F. Strieter, OD, PC
• James J. Stehman, D.M.D., P.C.
• Melissa A Jensen, MA
• Johnnie Faye Johnson, MEDICAL ASSISTANT
• Janae Cambriel Jones, PTA
• Shonika Deneen Jones
• Ryan A Jouett, LCPC, LPC
• David Charles Juelfs, MSW, LCSW

• 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 Aug 22, 2020; 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.