Gregory E Forgac, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3125 Issued in OH

Practice address

3900 Sunforest CT
Suite 200
Toledo, OH 43623-4475

Phone

(419) 474-4471

Fax

(419) 475-9312

NPI assigned

Dec 6, 2005

Last updated

Oct 4, 2011By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Thomas G Sherman MD Inc

  • Specialist
  • Toledo, OH
  • NPI 1457899932
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1457335135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT",
            "address_2": "SUITE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234475",
            "telephone_number": "419-474-4471",
            "fax_number": "419-475-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT",
            "address_2": "SUITE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234475",
            "telephone_number": "419-474-4471",
            "fax_number": "419-475-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGAC",
        "first_name": "GREGORY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "00751",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "29844919100",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0476640",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethel Foreman
• Timothy Quinn Foreman, LSW
• Tiye Mecca Foreman
• Lochlainn Foresman
• Forever Wellness & Care LLC (Home Health Service)
• Colleen Forille
• Shyra Forille
• Anthony Robert Forrest, D.O.
• Tirus B Forrest
• Caitlin Forrey

• Clinical Psychologist in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.

Verify at the official NPI Registry.