Gordon I Herz, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1715 Issued in WI

Practice address

478 Commerce Dr
Ste 204
Madison, WI 53719-4993

Phone

(608) 833-7533

NPI assigned

May 31, 2005

Last updated

Apr 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 4, 2026 through Feb 4, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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 Psychology Group

  • Clinical Psychologist
  • Madison, WI
  • NPI 1427453877
  NPD (past) Authorized official
• Forward Psychology Group, LLC

  • Clinical Psychologist
  • Madison, WI
  • NPI 1336362946
  Authorized official Same address or phone

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1053314344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 COMMERCE DR",
            "address_2": "STE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194993",
            "telephone_number": "608-833-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 COMMERCE DR",
            "address_2": "STE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194993",
            "telephone_number": "608-833-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZ",
        "first_name": "GORDON",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WI",
            "license": "1715",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Herrold-Peterson, LCSW
• Jamie Lynn Herron
• Abdikafi Elmi Hersi
• Josie Ann Herson, RN
• Taya Herum, MSW, LCSW
• Allison Margaret Herzfeld, MD, PHD
• Abigail Herzog, MD
• Aaron Stansbury Hess, MD, PHD
• Jamie Michelle Hess, M.D.
• Madelyn Hess, PA

• Clinical Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.