DR. SUSAN J GAULT PSYD
NPI 1427125855
Psychologist in Deerfield, IL

Active since November 29, 2006Opted out of Medicare · through Sep 19, 2026
770 LAKE COOK RD, SUITE 250, DEERFIELD, IL 60015(847) 940-8996(847) 267-0002 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Susan J Gault Psyd NPPES

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

DR. SUSAN J GAULT PSYD (NPI 1427125855) is an individual psychologist in Deerfield, Illinois and active in the NPI registry since November 2006. She has opted out of Medicare through September 19, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1427125855
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN J GAULTCredential: PSYD
Location Address770 LAKE COOK RD, SUITE 250Deerfield, IL 60015-4920
Mailing Address770 Lake Cook Rd, Suite 250Deerfield, IL 60015-4920 · (847) 940-8996 · Fax (847) 267-0002
Fax(847) 267-0002
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1427125855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
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.
770 LAKE COOK RD, Deerfield, IL 60015

Other Identifiers 1

Other0001673500IL · Bcbs Provider #

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. Susan J Gault Psyd 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 September 19, 2016 through September 19, 2026.

Opt-Out Effective DateSeptember 19, 2016
Opt-Out In Effect ThroughSeptember 19, 2026Opt-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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
770 LAKE COOK RD, SUITE 230
DEERFIELD, IL 60015
Counselor (Professional)
770 LAKE COOK RD
DEERFIELD, IL 60015
Clinic/Center (Mental Health (Including Community Mental Health Center))
770 LAKE COOK RD, SUITE 230
DEERFIELD, IL 60015
Psychiatry & Neurology (Psychiatry)
770 LAKE COOK RD, SUITE 250
DEERFIELD, IL 60015
Psychologist (Clinical)
770 LAKE COOK RD, SUITE 320
DEERFIELD, IL 60015
Speech-Language Pathologist
770 LAKE COOK RD
DEERFIELD, IL 60015
Psychologist (Clinical)
770 LAKE COOK RD, SUITE 210
DEERFIELD, IL 60015
Psychiatry & Neurology (Child & Adolescent Psychiatry)
770 LAKE COOK RD, SUITE 250
DEERFIELD, IL 60015

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 Susan Gault's NPI number?

The NPI number for Susan Gault is 1427125855. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Susan Gault located?

Susan Gault practices at 770 Lake Cook Rd Suite 250, Deerfield, IL 60015. The listed phone number is (847) 940-8996.

What is Susan Gault's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susan Gault enrolled in Medicare?

No. Susan Gault has opted out of Medicare through September 19, 2026. 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 Susan Gault was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.