Organization Active NPI

Stephanie Forbes DO PC Inc

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1760669188
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
3403 Issued in OK
Legal business name
STEPHANIE FORBES DO PC INC
Practice address
4612 S Harvard Ave
Ste a
Tulsa, OK 74135-2908
Phone
(918) 747-5565
Fax
(918) 747-5568
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Miss Stephanie Jo Forbes, D.O.
Title
Physician
Phone
(918) 747-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 3403 OK Primary

Addresses

Primary practice location

4612 S Harvard Ave
Ste a
Tulsa, OK 74135-2908

Mailing address

4612 S Harvard Ave
Ste a
Tulsa, OK 74135-2908
Phone (918) 747-5565

Other identifiers 2

IdentifierTypeStateIssuer
200130140AMedicaidOK
444480454002OtherOKBCBS OF OKLAHOMA

National Provider Directory

National Provider Directory

Locations

4612 S Harvard Ave
Ste A
Tulsa, OK 74135
Phone (918) 747-5565

2431 E 61st St
Ste 310
Tulsa, OK 74136
Phone (918) 747-5565

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1760669188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 S HARVARD AVE",
            "address_2": "STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352908",
            "telephone_number": "918-747-5565",
            "fax_number": "918-747-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 S HARVARD AVE",
            "address_2": "STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352908",
            "telephone_number": "918-747-5565",
            "fax_number": "918-747-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE FORBES DO PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-747-5565",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "3403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200130140A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OKLAHOMA",
            "identifier": "444480454002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.