Forward Psychology Group, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1715 Issued in WI

Legal business name

FORWARD PSYCHOLOGY GROUP, LLC

Practice address

478 Commerce Dr
Madison, WI 53719-4993

Phone

(608) 833-7533

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gordon I Herz, PHD

Title

Manager

Phone

(608) 833-7533

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Forward Psychology Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Forward Psychology Group

  • Clinical Psychologist
  • Madison, WI
  • NPI 1427453877
  NPD tax ID

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336362946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 COMMERCE DR",
            "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",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194993",
            "telephone_number": "608-833-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD PSYCHOLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERZ",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "608-833-7533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forto Transportation Services
• Jennifer Fortune, MSW
• Forum Extended Care Services of Wisconsin Inc (Willow Pharmacy)
• Forward Ketamine of Wisconsin S.C. (Forward Ketamine)
• Forward Psychology Group
• Megan Rose Foss, DNP, APNP
• Avery Fossum
• Stephanie J Fossum, NP
• Norman C Fost, MD MPH
• Quinn Anthony Foster Hill, MS, CCC-SLP

• 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 Aug 22, 2020; 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.