Teresa G Izquierdo, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

130270 Issued in KY

Practice address

7413 US Highway 42 Ste 3
Florence, KY 41042-1999

Phone

(859) 869-4463

Fax

(859) 869-4476

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forward Focus Psychological Associates, PLLC

  • Clinical Psychologist
  • Florence, KY
  • NPI 1467997361
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1043349749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7413 US HIGHWAY 42 STE 3",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421999",
            "telephone_number": "859-869-4463",
            "fax_number": "859-869-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 US HIGHWAY 42 STE 3",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421999",
            "telephone_number": "859-869-4463",
            "fax_number": "859-869-4476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Main St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410422016",
            "country_code": "US",
            "telephone_number": "859-869-4463",
            "fax_number": "859-869-4476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "TERESA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5985",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "130270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PRACTICE NPI IDENTIFICATION FOR FORWARD FOCUS PAYCHOLOGICAL ASSOCIATES",
            "identifier": "1467997361",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Florence, KY
• Providers in Florence, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.