Active NPI
Forducey Professional Consulting
- Adult Mental Health Clinic/Center
- Edmond, OK
National Provider Identifier
1689213936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Oklahoma City, OK
- NPI 1649365966
-
- Clinical Psychologist
- Oklahoma City, OK
- NPI 1366464521
-
- Clinical Psychologist
- Oklahoma City, OK
- NPI 1871515130
-
- Clinical Neuropsychologist
- Corpus Christi, TX
- NPI 1821288267
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.