James Forgan, PHD

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SS788 Issued in FL

Practice address

641 University Blvd Ste 114
Jupiter, FL 33458-2793

Phone

(561) 203-6007

NPI assigned

Jan 25, 2019

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

Other names 1

• Jim Forgan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1669936431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 UNIVERSITY BLVD STE 114",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582793",
            "telephone_number": "561-203-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 UNIVERSITY BLVD STE 114",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582793",
            "telephone_number": "561-203-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGAN",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM",
            "last_name": "FORGAN",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• School Psychologist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.