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DR. HENRY JAY GAULT M.D.
NPI 1417130527
Psychiatry & Neurology - Child & Adolescent Psychiatry in Deerfield, IL

Active since December 11, 2007Opted out of Medicare · through Jan 9, 2028
770 LAKE COOK RD, SUITE 250, DEERFIELD, IL 60015(847) 267-0001(847) 267-0002 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Henry Jay Gault M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENRY JAY GAULT M.D. (NPI 1417130527) is an individual child & adolescent psychiatry provider in Deerfield, Illinois, licensed in Illinois (03646462) and active in the NPI registry since December 2007. He has opted out of Medicare through January 9, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417130527
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. HENRY JAY GAULTCredential: M.D.
Location Address770 LAKE COOK RD, SUITE 250Deerfield, IL 60015-4920
Mailing Address770 Lake Cook Rd, Suite 250Deerfield, IL 60015-4920 · (847) 267-0001 · Fax (847) 267-0002
Phone(847) 267-0001
Fax(847) 267-0002
Sole ProprietorYes
Enumeration DateDecember 11, 2007
✔ NPI 1417130527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 03646462
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
770 LAKE COOK RD, Deerfield, IL 60015
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Henry Jay Gault M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 9, 2014 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2014
Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA BARMISH MAZZA & ASSOCIATES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
770 LAKE COOK RD, SUITE 230
DEERFIELD, IL 60015
Lake County (847) 680-7442
JOSEPHINE CARPENTER
Counselor (Professional)
770 LAKE COOK RD
DEERFIELD, IL 60015
Lake County (847) 238-2550
DR. ERICA WAGNER-HEIMANN & ASSOCIATES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
770 LAKE COOK RD, SUITE 230
DEERFIELD, IL 60015
Lake County (847) 920-8279
DR. MICHELLE MISHLER FLOWERS M.D.
Psychiatry & Neurology (Psychiatry)
770 LAKE COOK RD, SUITE 250
DEERFIELD, IL 60015
Lake County (847) 208-8043
DR. JENNIFER KELLER I PHD
Psychologist (Clinical)
770 LAKE COOK RD, SUITE 320
DEERFIELD, IL 60015
Lake County (847) 600-4124
ISABELLE HALLE
Speech-Language Pathologist
770 LAKE COOK RD
DEERFIELD, IL 60015
Lake County (603) 828-9440
DR. SYLVIA DAVIDSON PSY.D.
Psychologist (Clinical)
770 LAKE COOK RD, SUITE 210
DEERFIELD, IL 60015
Lake County (847) 943-9681
DR. SUSAN J GAULT PSYD
Psychologist
770 LAKE COOK RD, SUITE 250
DEERFIELD, IL 60015
Lake County (847) 940-8996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Gault's NPI number?

The NPI number for Henry Gault is 1417130527. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Henry Gault located?

Henry Gault practices at 770 Lake Cook Rd Suite 250, Deerfield, IL 60015. The listed phone number is (847) 267-0001.

What is Henry Gault's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Henry Gault enrolled in Medicare?

No. Henry Gault has opted out of Medicare through January 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Henry Gault was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.