DR. GORDON I HERZ PHD NPI 1053314344

NPI Information

  • NPI: 1053314344
  • Provider Name: DR. GORDON I HERZ, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 478 COMMERCE DR
    STE 204
    MADISON, WI
    ZIP 53719
  • Phone: (608) 833-7533

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NPI Details

DR. Gordon I Herz, PHD is a clinical psychologist in Madison, WI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Gordon I Herz, PHD NPI is 1053314344. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

478 COMMERCE DR
STE 204
MADISON, WI
ZIP 53719-993
Phone: (608) 833-7533

The NPI 1053314344 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 5/31/2005 and was last updated on 4/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist1715WISCONSINNo
2103TC0700XPsychologistClinical1715WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1134252791OTHERWISCONSINFEDERAL EIN
2000044003MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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