DR. SUSAN J GAULT PSYD
NPI 1427125855
Psychologist in Deerfield, IL
NPI Status: Active since November 29, 2006
Contact Information
770 LAKE COOK RD
SUITE 250
DEERFIELD, IL
ZIP 60015
Phone: (847) 940-8996
Fax: (847) 267-0002
- Individual
- Female
- Psychologist
- PECOS Enrolled
- Opted-Out Medicare
About SUSAN GAULT
This page provides the complete NPI Profile along with additional information for Susan Gault, a provider established in Deerfield, Illinois with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1427125855 assigned on November 2006. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1427125855
- Provider Name
- DR. SUSAN J GAULT PSYD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 770 LAKE COOK RD SUITE 250 DEERFIELD, IL 60015
- Location Phone
- (847) 940-8996
- Location Fax
- (847) 267-0002
- Mailing Address
- 770 LAKE COOK RD SUITE 250 DEERFIELD, IL 60015
- Mailing Phone
- (847) 940-8996
- Mailing Fax
- (847) 267-0002
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-29-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A psychologist like Susan Gault studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Susan Gault opted out of Medicare effective on 09-19-2016 until 09-19-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License State
- IL
- Taxonomy Description
- A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0001673500 | OTHER (01) | IL | BCBS PROVIDER # |
Medicare Participation & PECOS Enrollment Status
Susan Gault is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 09-19-2016
Opt-Out End Date: 09-19-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. SUSAN J GAULT PSYD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 1 | 2 | 5 | 8 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 2 | 2 | 10 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 2 + 2 + 1 + 0 + 8 + 1 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1427125855 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518033810 | DR. TAMMY S YUEN MD Individual | Psychiatry & Neurology (Psychiatry) | 770 LAKE COOK RD DEERFIELD, IL 60015 (847) 267-0001 |
| 1417130527 | DR. HENRY JAY GAULT M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 770 LAKE COOK RD SUITE 250 DEERFIELD, IL 60015 (847) 267-0001 |
| 1831321082 | DR. JEFFREY A. FISHBEIN, PSY.D, P.C Organization | Psychologist | 770 LAKE COOK RD SUITE 250 DEERFIELD, IL 60015 (847) 267-0001 |
| 1134465354 | DR. ERICA WAGNER-HEIMANN & ASSOCIATES, LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 770 LAKE COOK RD SUITE 230 DEERFIELD, IL 60015 (847) 920-8279 |
| 1013253145 | DR. ANDREA BARMISH MAZZA & ASSOCIATES, LLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 770 LAKE COOK RD SUITE 230 DEERFIELD, IL 60015 (847) 680-7442 |
| 1891034443 | DR. KAY SEGAL PSYD Individual | Psychologist (Clinical) | 770 LAKE COOK RD SUITE 270 DEERFIELD, IL 60015 (847) 943-9068 |
| 1902145964 | SEGAL BEHAVIORAL HEALTH LLC Organization | Psychologist (Clinical) | 770 LAKE COOK RD SUITE 270 DEERFIELD, IL 60015 (847) 943-9068 |
| 1255482121 | DR. MICHELLE MISHLER FLOWERS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 770 LAKE COOK RD SUITE 250 DEERFIELD, IL 60015 (847) 208-8043 |
| 1639577943 | SANDRA RUGGLES LCPC Individual | Counselor (Professional) | 770 LAKE COOK RD SUITE 220 DEERFIELD, IL 60015 (866) 220-8371 |
| 1295105682 | DR. JENNIFER KELLER I PHD Individual | Psychologist (Clinical) | 770 LAKE COOK RD SUITE 320 DEERFIELD, IL 60015 (847) 600-4124 |
| 1487025888 | HALEY RORABECK LPC Individual | Counselor (Mental Health) | 770 LAKE COOK RD 320 DEERFIELD, IL 60015 (847) 600-4124 |
| 1700259819 | CHANGE PERSPECTIVES PSYCHOLOGICAL SERVICES, LLC Organization | Psychologist (Clinical) | 770 LAKE COOK RD 270 DEERFIELD, IL 60015 (847) 416-2966 |
| 1841658820 | APEX PERFORMANCE CONSULTING, INC. Organization | Psychologist (Exercise & Sports) | 770 LAKE COOK RD DEERFIELD, IL 60015 (847) 828-1034 |
| 1396193199 | DR. SYLVIA DAVIDSON PSY.D. Individual | Psychologist (Clinical) | 770 LAKE COOK RD SUITE 210 DEERFIELD, IL 60015 (847) 943-9681 |
| 1801338561 | DR. SAMANTHA FOX PSY.D. Individual | Psychologist (Clinical) | 770 LAKE COOK RD SUITE 220 DEERFIELD, IL 60015 (866) 220-8371 |
| 1467832907 | DR. AMY M THOME LCPC, PSYD Individual | Counselor (Professional) | 770 LAKE COOK RD SUITE 270 DEERFIELD, IL 60015 (312) 945-1098 |
| 1346690120 | CATHY J BETTI LMFT Individual | Marriage & Family Therapist | 770 LAKE COOK RD SUITE 220 DEERFIELD, IL 60015 (224) 300-6220 |
| 1568145001 | GUADALUPE NORIA HERNANDEZ Individual | Student in an Organized Health Care Education/Training Program | 770 LAKE COOK RD SUITE 200 DEERFIELD, IL 60015 (847) 607-0728 |
| 1891532966 | KRISTINA HUBER Individual | Psychologist | 770 LAKE COOK RD DEERFIELD, IL 60015 (847) 607-9662 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427125855, enumerated in the NPI registry as an "individual" on November 29, 2006
The provider is located at 770 Lake Cook Rd Suite 250 Deerfield, Il 60015 and the phone number is (847) 940-8996
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
No, the provider signed an affidavit on September 19, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 19, 2026.
This NPI record was last updated on November 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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