NPIMap

Organization Active NPI

Forward Focus Psychological Associates, PLLC

  • Clinical Psychologist
  • Florence, KY
National Provider Identifier
1467997361
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
130270 Issued in KY
Legal business name
FORWARD FOCUS PSYCHOLOGICAL ASSOCIATES, PLLC
Practice address
7413 US Highway 42 Ste 3
Florence, KY 41042-1999
Phone
(859) 869-4463
Fax
(859) 869-4476
NPI assigned
Dec 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Dr. Teresa Garera Izquierdo, PSY.D.NPI 1043349749
Title
Licensed Psychologist - Director
Phone
(859) 869-4463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 130270 KY Primary

Addresses

Primary practice location

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

Mailing address

7413 US Highway 42 Ste 3
Florence, KY 41042-1999
Phone (859) 869-4463

Other practice location 1

236 Main St
Suite 4
Florence, KY 41042-2016
Phone (859) 869-4463

National Provider Directory

National Provider Directory

Locations

236 Main St
Ste 4
Florence, KY 41042
Phone (859) 869-4463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1467997361",
    "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": {
        "organization_name": "FORWARD FOCUS PSYCHOLOGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "GARERA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST - DIRECTOR",
        "authorized_official_telephone_number": "859-869-4463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "130270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • 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.