DR. GORDON I HERZ (NPI# 1053314344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053314344 |
| Entity Type | Individual |
| Full Name | DR. GORDON I HERZ |
| Credential | PHD |
| Practice Address |
478 Commerce Dr Ste 204 Madison WI 53719-4993 |
| Practice Telephone | 6088337533 |
| Mailing Telephone | 6088337533 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2014-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 1715 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1715 | WI | Behavioral Health & Social Service Providers |
| Street Address |
478 COMMERCE DR STE 204 |
| City | MADISON |
| State | WI |
| Zip Code | 53719-4993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336362946 | Forward Psychology Group, LLC | Psychologist | 478 Commerce Dr, Madison, WI 53719-4993 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1497311294 | Brenda Sue Stepak | Psychologist | 4 Giralda Farms, Madison, NJ 07940 | 2019-05-16 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1598232548 | Different Minds LLC | Psychologist | 313 Price Pl Ste 109, Madison, WI 53705-3262 | 2018-10-29 |
| 1760967145 | Emily Cahill Forscher | Psychologist | 2801 International Ln, Madison, WI 53704-3119 | 2018-10-01 |
| 1083167944 | Monica Ballard-booth | Psychologist | 331 State St, Suite 300, Madison, WV 25130-1367 | 2016-07-27 |
| 1750758033 | Patricia Humphrey | Psychologist | 4785 Hayes Rd Ste 100, Madison, WI 53704-7364 | 2015-08-21 |
| 1417348046 | Roger Rattan | Psychologist | 516 Troy Dr, Madison, WI 53704-1575 | 2015-02-18 |
| 1427453877 | Forward Psychology Group | Psychologist | 478 Commerce Dr Ste 204, Madison, WI 53719-5099 | 2014-10-28 |
| Find all providers in MADISON | ||||
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| 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.