Active NPI
Forrest Ryan Guilfoile, MD
- Child & Adolescent Psychiatry Physician
- Yakima, WA
National Provider Identifier
1427554179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD61403873
- Practice address
- 307 S 12TH Ave Ste 4B
Yakima, WA 98902-3137 - Phone
- (509) 575-8457
- Fax
- (509) 453-1273
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 65854 | MN | |
| Psychiatry Physician | 2084P0800X | 29151 | MN | |
| Psychiatry Physician | 2084P0800X | MD61403873 | WA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD61403873 | WA | Primary |
Addresses
Primary practice location
307 S 12TH Ave Ste 4B
Yakima, WA 98902-3137
Mailing address
307 S 12TH Ave Ste 4B
Yakima, WA 98902-3137
Phone (509) 575-8457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427554179 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fguilfoile42021@yvfwc.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
307 S 12TH Ave
Suite 4B
Yakima, WA 98902-3137
Phone (509) 575-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients | |
| Yakima Valley Farm Workers Clinic | Current | Accepting new patients |
Locations
3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200
918 E Mead Ave
Yakima, WA 98903
Phone (509) 453-1344
307 S 12th Ave
Ste 4B
Yakima, WA 98902
Phone (509) 575-8457
Interoperability endpoints
- fguilfoile42021@yvfwc.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yakima, WA
- NPI 1295788602
-
- Federally Qualified Health Center (FQHC)
- Clatskanie, OR
- NPI 1578000345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1427554179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 S 12TH AVE STE 4B",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023137",
"telephone_number": "509-575-8457",
"fax_number": "509-453-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S 12TH AVE STE 4B",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023137",
"telephone_number": "509-575-8457",
"fax_number": "509-453-1273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILFOILE",
"first_name": "FORREST",
"middle_name": "RYAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "65854",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "29151",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD61403873",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "MD61403873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427554179",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fguilfoile42021@yvfwc.direct-ci.com",
"affiliation": "N",
"endpointDescription": "YVFWC Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "307 S 12th Ave Ste 4B",
"city": "Yakima",
"state": "WA",
"country_code": "US",
"postal_code": "989023137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.