Active NPI
Joel Forgus, PH.D.
- Psychologist
- Austin, TX
National Provider Identifier
1881719318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25380
- Practice address
- 13416 Saddle Back Pass
Austin, TX 78738-6148 - Phone
- (512) 263-8939
- NPI assigned
- Mar 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25380 | TX | Primary |
Addresses
Primary practice location
13416 Saddle Back Pass
Austin, TX 78738-6148
Mailing address
13416 Saddle Back Pass
Austin, TX 78738-6148
Phone (512) 263-8939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25380 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881719318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13416 SADDLE BACK PASS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787386148",
"telephone_number": "512-263-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13416 SADDLE BACK PASS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787386148",
"telephone_number": "512-263-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORGUS",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "25380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.