NPIMap

Organization Active NPI

Forefront Telecare Medical Services PC

  • Psychiatry Physician
  • Charleston, WV
National Provider Identifier
1629698766
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FOREFRONT TELECARE MEDICAL SERVICES PC
Practice address
1627 Quarrier St
Charleston, WV 25311-2124
Phone
(972) 449-0540
Fax
(972) 449-0542
NPI assigned
Apr 18, 2020
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Sara Vitullo
Title
Director of Payer Operations
Phone
(972) 449-0540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

1627 Quarrier St
Charleston, WV 25311-2124

Mailing address

1717 Main St Ste 5850
Dallas, TX 75201-7317
Phone (972) 449-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210423001611 WV Part B Supplier - Clinic/Group Practice 0446668826 Receives reassigned benefits from 29 practitioners
Practice locations: Bluefield, WV; Charleston, WV; Princeton, WV
O20210423001909 VA Part B Supplier - Clinic/Group Practice 0446668826 Receives reassigned benefits from 8 practitioners
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

1333 Southview Dr
Bluefield, WV 24701
Phone (304) 327-2900

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1629698766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST STE 5850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017317",
            "telephone_number": "972-449-0540",
            "fax_number": "972-449-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 QUARRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112124",
            "telephone_number": "972-449-0540",
            "fax_number": "972-449-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT TELECARE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-18",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "VITULLO",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER OPERATIONS",
        "authorized_official_telephone_number": "972-449-0540"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.