Organization Active NPI

Forester Clinic, P.C.

  • Adult Psychiatric/Mental Health Registered Nurse
  • Johnson City, TN
National Provider Identifier
1598979858
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
129602 Issued in TN
Legal business name
FORESTER CLINIC, P.C.
Practice address
209 E Unaka Ave
Johnson City, TN 37601-4625
Phone
(423) 434-4677
Fax
(423) 434-4645
NPI assigned
May 9, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
David L Forester, M.D.NPI 1497967897
Title
President
Phone
(423) 434-4677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 129602 TN Primary
Psychiatry Physician 2084P0800X 34531 TN

Addresses

Primary practice location

209 E Unaka Ave
Johnson City, TN 37601-4625

Mailing address

209 E Unaka Ave
Johnson City, TN 37601-4625
Phone (423) 434-4677

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1598979858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E UNAKA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014625",
            "telephone_number": "423-434-4677",
            "fax_number": "423-434-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E UNAKA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014625",
            "telephone_number": "423-434-4677",
            "fax_number": "423-434-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORESTER CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FORESTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-434-4677",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TN",
            "license": "129602",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "34531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.