Active NPI
Stephanie Forbes DO PC Inc
- Psychiatry Physician
- Tulsa, OK
National Provider Identifier
1760669188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3403
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200130140A | Medicaid | OK | |
| 444480454002 | Other | OK | BCBS OF OKLAHOMA |
National Provider Directory
National Provider DirectoryLocations
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.