Forum Ohio, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FORUM OHIO, LLC

Practice address

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206

Phone

(614) 309-9727

Fax

(614) 895-6801

NPI assigned

Dec 15, 2015

Last updated

Dec 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bob Stinson, PSYD JD LICDC-S ABPP

Title

Co-Owner

Phone

(614) 309-9727

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bobby L. Stinson II, PSYD JD LICDC-S ABPP

  • Psychologist
  • Columbus, OH
  • NPI 1083782585
  NPD (past)

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1881059061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 ROLLING RIDGE WAY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828933",
            "telephone_number": "614-309-9727",
            "fax_number": "614-895-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 3RD ST",
            "address_2": "SUITE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154206",
            "telephone_number": "614-309-9727",
            "fax_number": "614-895-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORUM OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "614-309-9727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD JD LICDC-S ABPP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniqua Fortner
• Casey Fortney
• Marcus Fortney, QMHS HS CMS HS
• William Joseph Forton, M.D.
• Amanda Fortson, LMT
• Forward Health LLC
• Forward Health LLC
• Aaron Jacob Foshee
• Joshua Neil Foshee Jr.
• Zacharia Akem Fosimondi

• Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.