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DR. JEREMY TODD BIDWELL PH.D.
NPI 1609108703
Psychologist - Prescribing (Medical) in Woodstock, IL

Active since February 01, 2010PECOS EnrolledAccepts Medicare Assignment
111 DEAN ST, WOODSTOCK, IL 60098(815) 344-5061(815) 344-5072 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeremy Todd Bidwell Ph.d. NPPES

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

DR. JEREMY TODD BIDWELL PH.D. (NPI 1609108703) is an individual prescribing (medical) provider in Woodstock, Illinois, licensed in Illinois (074.000011) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1609108703
Entity TypeIndividualMale
Primary Taxonomy103TP0016X
Provider Legal NameDR. JEREMY TODD BIDWELLCredential: PH.D.
Location Address111 DEAN STWoodstock, IL 60098-3220
Mailing Address111 Dean StWoodstock, IL 60098-3220 · (815) 344-5061 · Fax (815) 344-5072
Phone(815) 344-5061
Fax(815) 344-5072
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 1, 2010
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1609108703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in IL · 074.000011
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071.007831 (IL)
111 DEAN ST, Woodstock, IL 60098
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeremy Todd Bidwell Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779609086
PECOS Enrollment IDI20100923001297
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
57 services11 patients

Other Providers at the Same Location NPPES 9

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

AMBER MARCUSSEN
Counselor (Mental Health)
111 DEAN ST
WOODSTOCK, IL 60098
McHenry County (847) 802-4058
SARA BARDY LCPC
Counselor (Professional)
111 DEAN ST
WOODSTOCK, IL 60098
McHenry County (847) 802-4058
SAMANTHA C KURKJIAN CP
Psychologist (Clinical)
111 DEAN ST
WOODSTOCK, IL 60098
McHenry County (847) 802-4058
KRYSTYNA JANINA WOJTOWICZ MA, LCPC
Counselor (Professional)
111 DEAN ST
WOODSTOCK, IL 60098
McHenry County (847) 802-4058
DESIREE CHERIE HAWLEY PSY.D.
Psychologist (Clinical)
111 DEAN ST
WOODSTOCK, IL 60098
McHenry County (815) 344-5061
DR. MARIE JACLYN ENDERLE PHD
Student in an Organized Health Care Education/Training Program
111 DEAN ST
WOODSTOCK, IL 60098
McHenry County (815) 344-5061
THE LODESTONE CENTER FOR BEHAVIORAL HEALTH, PC
Psychologist
111 DEAN ST
WOODSTOCK, IL 60098
McHenry County (815) 344-5061
TAYLOR SKINNER LPC
Counselor (Professional)
111 DEAN ST
WOODSTOCK, IL 60098
McHenry County (847) 802-4058

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 Jeremy Bidwell's NPI number?

The NPI number for Jeremy Bidwell is 1609108703. It was assigned to this individual provider in the NPPES registry on February 1, 2010.

Where is Jeremy Bidwell located?

Jeremy Bidwell practices at 111 Dean St, Woodstock, IL 60098. The listed phone number is (815) 344-5061.

What is Jeremy Bidwell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Jeremy Bidwell enrolled in Medicare?

Yes. Jeremy Bidwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeremy Bidwell was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.