DR. JERALD DELBERT FORSYTH (NPI# 1558451948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558451948 |
| Entity Type | Individual |
| Full Name | DR. JERALD DELBERT FORSYTH |
| Credential | PSY.D. |
| Practice Address |
440 S Market Ave Springfield MO 65806-2026 |
| Mailing Address |
2066 W Willow Lakes Cv Springfield MO 65810-1562 |
| Practice Telephone | 4178655581 |
| Mailing Telephone | 4178448423 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
01675 | MO | Behavioral Health & Social Service Providers |
| Street Address |
440 S MARKET AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65806-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372601 | Mary Katherine Brinkman | Physician Assistant | 440 S Market Ave, Springfield, MO 65806-2026 | 2005-11-09 |
| 1669093852 | Sara Shryack Wolf | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2020-04-29 |
| 1386271054 | Lakeland Hospital Acquisition, LLC | Psychiatric Hospital | 440 S Market Ave, Springfield, MO 65806-2026 | 2020-03-24 |
| 1437612082 | Claudia Lizeth Moncada Maldonado | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2019-04-10 |
| 1275018335 | Heather M Freeman | Counselor | 440 S Market Ave, Springfield, MO 65806-2026 | 2018-09-25 |
| 1902308620 | Courtney Treat | Physician Assistant | 440 S Market Ave, Springfield, MO 65806-2026 | 2018-03-08 |
| 1154714863 | Rebecca Granden | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2015-03-05 |
| 1912248949 | Sarah Marie Young | Physician Assistant | 440 S Market Ave, Springfield, MO 65806-2026 | 2013-03-15 |
| 1013253186 | Elizabeth Marie Mendenhall | Social Worker | 440 S Market Ave, Springfield, MO 65806-2026 | 2012-12-18 |
| 1780907337 | Matthew D. Weatherly | Counselor | 440 S Market Ave, Springfield, MO 65806-2026 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614625 | Jaleesa Warnay Westmoreland-ginger | Specialist/Technologist | 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 | 2019-02-01 |
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1801312871 | Scott Lewis Stegeman | Specialist/Technologist | 609 E Cherry St, Springfield, MO 65806 | 2017-08-21 |
| 1154787638 | Alicia R. Thomas | Nurse Practitioner | 618 N. Benton, Springfield, MO 65806 | 2016-01-13 |
| 1972938231 | Karah Nicole Domenico | Dietitian, Registered | 205 Park Central East Ste. 217, Springfield, MO 65806 | 2013-09-05 |
| 1386766921 | Mary Ann Wood Smith | Counselor | 305 East Walnut, Suite 103, Springfield, MO 65806 | 2007-04-04 |
| 1811023161 | Yvonda Schwartz | Counselor | 1212 W Lombard, Great Circle, Springfield, MO 65806 | 2007-02-23 |
| 1861579880 | Richard Chalon Aiken | Psychiatry & Neurology | 440 S Market Street, Springfield, MO 65806 | 2006-11-01 |
| 1093806671 | Clint A Strong | Family Medicine | 440 E. Tampa St, Springfield, MO 65806 | 2006-09-27 |
| 1609835164 | Ray E. Burmood | Social Worker | 614 South Street, Springfield, MO 65806 | 2006-03-22 |
| Find all providers in zip 65806 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65806 |
Please comment or provide details below to improve the information on DR. JERALD DELBERT FORSYTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.