Individual provider Active NPI

Forrest Ryan Guilfoile, MD

  • Child & Adolescent Psychiatry Physician
  • Yakima, WA
National Provider Identifier
1427554179
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD61403873 Issued in WA
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

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1427554179MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713003996 WA Practitioner - Psychiatry 0446507537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, 274 clinicians

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

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic CurrentSince Jun 12, 2023 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jun 12, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.