Roger Gerard Fortener, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

5728 Issued in OH

Practice address

3454 Oak Alley CT Ste 305
Toledo, OH 43606-1365

Phone

(419) 534-2468

Fax

(419) 534-2397

NPI assigned

Sep 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Anne Grady Corporation

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Holland, OH
  • NPI 1285988717
  NPD (past)
• Anne Grady Day Program

  • Home Health Agency
  • Toledo, OH
  • NPI 1831382944
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588764070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 305",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061365",
            "telephone_number": "419-534-2468",
            "fax_number": "419-534-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 305",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061365",
            "telephone_number": "419-534-2468",
            "fax_number": "419-534-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTENER",
        "first_name": "ROGER",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "5728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Robert Forrest, D.O.
• Tirus B Forrest
• Caitlin Forrey
• Kaitlyn M Forristal, MA, LPC
• Samuel D Forshey, MSN, FNP
• Ashley Fortuna
• Bradley Forup, RN
• Connie S Forup, RN
• Heather Louise Forystek, APRN, FNP-C
• Kaela Foss

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.