DR. GERARD DAVID WIDMANN PSYD
NPI 1740891282
Clinical Neuropsychologist in Naperville, IL

Q: What is Gerard Widmann's NPI number?

The NPI number for Gerard Widmann is 1740891282. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Q: What is Gerard Widmann's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerard Widmann was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 10, 2020PECOS EnrolledAccepts Medicare Assignment

640 S WASHINGTON ST, NAPERVILLE, IL 60540(815) 942-6323(779) 210-5541 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2021, Aug 27, 2020, Aug 10, 2020 (3 updates tracked since 2020).

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About Dr. Gerard David Widmann Psyd NPPES

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

DR. GERARD DAVID WIDMANN PSYD (NPI 1740891282) is an individual clinical neuropsychologist in Naperville, Illinois, licensed in Illinois (071010323) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1740891282

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. GERARD DAVID WIDMANNCredential: PSYD

Location Address640 S WASHINGTON STNaperville, IL 60540-6603

Mailing AddressPo Box 7410264Chicago, IL 60674-0264 · (815) 942-6323 · Fax (779) 210-5541

Phone(815) 942-6323

Fax(779) 210-5541

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 10, 2020

Last NPPES UpdateMarch 1, 20213 updates tracked since enumeration

NPPES CertifiedMarch 1, 2021

✔ NPI 1740891282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in IL · 071010323

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071010323 (IL)

640 S WASHINGTON ST, Naperville, IL 60540

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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. Gerard David Widmann Psyd 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 ID2668899816

PECOS Enrollment IDI20200902001225

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.

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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. LISA MARIE BORGEALT D.C., APN

Nurse Practitioner

640 S WASHINGTON ST
NAPERVILLE, IL 60540

Dupage County (815) 942-6323

MELANIE JOHNSEN

Social Worker (Clinical)

640 S WASHINGTON ST
NAPERVILLE, IL 60540

Dupage County (815) 942-6323

DR. MICHAEL T FEINGOLD MD

Obstetrics & Gynecology

640 S WASHINGTON ST, STE 220
NAPERVILLE, IL 60540

Dupage County (630) 428-1500

SEEMA GUPTA MD PC

Internal Medicine

640 S WASHINGTON ST, STE 280
NAPERVILLE, IL 60540

Dupage County (630) 778-9362

DR. ELISEO ROSEL ROQUIZ JR. D.O.

Family Medicine

640 S WASHINGTON ST, 350
NAPERVILLE, IL 60540

Dupage County (630) 717-2646

MRS. SARA LEIGH GIBSON LPC

Counselor (Professional)

640 S WASHINGTON ST
NAPERVILLE, IL 60540

Dupage County (708) 448-0884

MARILYN MISTRY MD

Family Medicine

640 S WASHINGTON ST, STE 350
NAPERVILLE, IL 60540

Dupage County (630) 355-8000

DR. RAKESH MARWAHA M.D.

Specialist

640 S WASHINGTON ST, STE 380
NAPERVILLE, IL 60540

Dupage County (630) 527-6390

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 Gerard Widmann's NPI number?

The NPI number for Gerard Widmann is 1740891282. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Where is Gerard Widmann located?

Gerard Widmann practices at 640 S Washington St, Naperville, IL 60540. The listed phone number is (815) 942-6323.

What is Gerard Widmann's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Gerard Widmann enrolled in Medicare?

Yes. Gerard Widmann 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 Gerard Widmann was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.