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DR. JEFFREY FORTGANG PHD
NPI 1912914169
Counselor - Addiction (Substance Use Disorder) in Newton, MA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
50 SOLON STREET, NEWTON, MA 02461(617) 964-6822(617) 964-6822 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey Fortgang Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY FORTGANG PHD (NPI 1912914169) is an individual addiction (substance use disorder) provider in Newton, Massachusetts, licensed in Massachusetts (1066) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (1980).

NPPES Registry Identity

NPI1912914169
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDR. JEFFREY FORTGANGCredential: PHD
Location Address50 SOLON STREETNewton, MA 02461-1827
Mailing Address50 Solon StreetNewton, MA 02461-1827 · (617) 964-6822 · Fax (617) 964-6822
Phone(617) 964-6822
Fax(617) 964-6822
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1980
Enumeration DateAugust 1, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1912914169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MA · 1066
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2822 (MA)

Other Identifiers 6

OtherW03000MA · Blue Cross Blue Shield
Other4338079Aetna
Other720563Tufts Health Plan
Other014616Value Options
Medicaid0526436MA
Other151539Magellan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey Fortgang Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870776719
PECOS Enrollment IDI20110330000458
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
107 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Fortgang's NPI number?

The NPI number for Jeffrey Fortgang is 1912914169. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Jeffrey Fortgang located?

Jeffrey Fortgang practices at 50 Solon Street, Newton, MA 02461. The listed phone number is (617) 964-6822.

What is Jeffrey Fortgang's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jeffrey Fortgang enrolled in Medicare?

Yes. Jeffrey Fortgang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeffrey Fortgang was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.