Organization
FCP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES FRANK FORSTER IV PSYD HSPP (OWNER/PRESIDENT)
(812) 240-0939
Entity
Organization
Contact information
Practice address
112 W. MAIN STREET, JASONVILLE, IN 47438-1514
(812) 240-0939
Mailing address
PO BOX 515, BRAZIL, IN 47834-0515
(812) 240-0939
(812) 446-2833
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000499223
BLUE CROSS BLUE SHIELD
IN
05
—
100467700A
—
IN
01
—
1530980
UMWA
IN
01
—
620005855
RR MEDICARE
IN
Enumeration date
09/10/2007
Last updated
07/18/2025
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