Active NPI
Jonathan Forgiel, M.A.,T.L.L.P.
- Addiction (Substance Use Disorder) Psychologist
- Monroe, MI
National Provider Identifier
1457759094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- L438946
- Practice address
- 14733 S Telegraph Rd
Monroe, MI 48161-9545 - Phone
- (734) 243-8707
- NPI assigned
- Dec 15, 2014
- Last updated
- Dec 15, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | L438946 | MI | Primary |
Addresses
Primary practice location
14733 S Telegraph Rd
Monroe, MI 48161-9545
Mailing address
14733 S Telegraph Rd
Monroe, MI 48161-9545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L438946 | MI | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1457759094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14733 S TELEGRAPH RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481619545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14733 S TELEGRAPH RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481619545",
"telephone_number": "734-243-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORGIEL",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "M.A.,T.L.L.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-15",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "L438946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.