Individual provider Active NPI

Troy Forsyth

  • Behavior Analyst
  • Redmond, OR
National Provider Identifier
1932658101
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
ABA-B-10199050 Issued in OR
Practice address
536 SW 12TH St
Redmond, OR 97756-2601
Phone
(541) 719-8342
Fax
(415) 568-6944
NPI assigned
Sep 28, 2016
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X ABA-B-10199050 OR Primary

Addresses

Primary practice location

536 SW 12TH St
Redmond, OR 97756-2601

Mailing address

536 SW 12TH St
Redmond, OR 97756-2601
Phone (541) 719-8342

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ABA-B-10199050ORMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Tumalo Behavioral Intervention Behavior Analyst CurrentSince Apr 9, 2023 Accepting new patients
Cascade Behavioral Intervention, LLC Behavior Analyst Past Accepting new patients

Locations

536 SW 12th St
Redmond, OR 97756
Phone (541) 719-8342

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1932658101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 SW 12TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562601",
            "telephone_number": "541-719-8342",
            "fax_number": "415-568-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 SW 12TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562601",
            "telephone_number": "541-719-8342",
            "fax_number": "415-568-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTH",
        "first_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "ABA-B-10199050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.