Individual provider Active NPI

Pamela Gayle Forducey, PH.D.

  • Psychologist
  • Oklahoma City, OK
National Provider Identifier
1649365966
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
590 Issued in OK
Practice address
5400 N Independence Ave
Suite 200
Oklahoma City, OK 73112-5300
Phone
(405) 713-4433
Fax
(405) 951-8851
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 590 OK Primary

Addresses

Primary practice location

5400 N Independence Ave
Suite 200
Oklahoma City, OK 73112-5300

Mailing address

2717 NW 55TH PL
Oklahoma City, OK 73112-7010
Phone (405) 608-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20040427000379 OK Practitioner - Clinical Psychologist 5991792582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Oklahoma College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3441 W Memorial Rd
Suite 7
Oklahoma City, OK 73134-7000
Phone (405) 550-3482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
590OKMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Forducey Professional Consulting CurrentSince Nov 6, 2019 Accepting new patients
Neuroresources, PLLC PastSince Feb 21, 2010 Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

3441 W Memorial Rd
Ste 7
Oklahoma City, OK 73134
Phone (405) 286-6000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649365966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 NW 55TH PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127010",
            "telephone_number": "405-608-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 N INDEPENDENCE AVE",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125300",
            "telephone_number": "405-713-4433",
            "fax_number": "405-951-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDUCEY",
        "first_name": "PAMELA",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.