Organization Active NPI

Forducey Professional Consulting

  • Adult Mental Health Clinic/Center
  • Edmond, OK
National Provider Identifier
1689213936
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FORDUCEY PROFESSIONAL CONSULTING
Practice address
16301 Sonoma Park Dr
Edmond, OK 73013-2091
Phone
(405) 550-3482
NPI assigned
Jan 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

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

Authorized official

Name
Pam Forducey, PHD
Title
President
Phone
(405) 550-3482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

16301 Sonoma Park Dr
Edmond, OK 73013-2091

Mailing address

2717 NW 55TH PL
Oklahoma City, OK 73112-7010

Other names 1

  • Pam Forducey, PhD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200207000718 OK Part B Supplier - Clinic/Group Practice 1456787688 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

16301 Sonoma Park Dr
Edmond, OK 73013
Phone (405) 246-5433

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578096000000",
    "number": "1689213936",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16301 SONOMA PARK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132091",
            "telephone_number": "405-550-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDUCEY PROFESSIONAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A",
        "authorized_official_last_name": "FORDUCEY",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-550-3482",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pam Forducey, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; 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.