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Deactivated NPI 1003866054 Deactivated / Inactive NPI Male Practitioner

Dr. Theodore Claude Forward , PhD

Psychologist - Clinical • Niles, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Theodore Forward has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 11, 2006
NPI Deactivation Date June 26, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Forward, PhD was a registered Psychologist - Clinical practicing in Niles, OH. Throughout an active medical career spanning 18 years, Dr. Forward provided care at the practice location at 487 N RHODES AVE until profile deactivation on 2024-06-26.

Practice Location & Contact Primary Location

Practice Address

487 N Rhodes Ave

Niles, OH 444463823

Telephone 3305442474
Fax 3306522971

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Niles, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Niles, OH (1691 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License OH 875

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 26, 2024

Record deactivated on June 26, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 487 N RHODES AVE, NILES, OH 444463823 (Tel: 3305442474)

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Updated Business Mailing Address July 08, 2007

Registered at 487 N RHODES AVE, NILES, OH 444463823 (Tel: 3305442474)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE FORWARD, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #875 in OH)

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Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003866054
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: July 08, 2007
Deactivation Date: June 26, 2024

Mailing Address

487 N Rhodes Ave

Niles, OH 444463823

Phone: 3305442474

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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