NPIMap

Organization Active NPI

Forpsych Corporation

Doing business as ForPsych: A Forensic Psychology Practice

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1912442765
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6165 Issued in OH
Legal business name
FORPSYCH CORPORATION
Doing business as
ForPsych: A Forensic Psychology Practice
Practice address
4217 Smith Rd
Cincinnati, OH 45212-4107
Phone
(513) 871-7285
Fax
(513) 871-7285
NPI assigned
Jan 4, 2017
Last updated
Jan 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Dr. Nicole Leisgang, PSY.D.NPI 1043756257
Title
Associate Director
Phone
(513) 871-7285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20042365A IN
Psychologist 103T00000X 6165 OH Primary

Addresses

Primary practice location

4217 Smith Rd
Cincinnati, OH 45212-4107

Mailing address

4217 Smith Rd
Cincinnati, OH 45212-4107
Phone (513) 871-7285

Other names 1

  • ForPsych: A Forensic Psychology Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Paul a Deardorff Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1912442765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 SMITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452124107",
            "telephone_number": "513-871-7285",
            "fax_number": "513-871-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 SMITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452124107",
            "telephone_number": "513-871-7285",
            "fax_number": "513-871-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORPSYCH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "LEISGANG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "513-871-7285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042365A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ForPsych: A Forensic Psychology Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.