Individual provider Active NPI

James K Gerndt, PHD

  • Psychologist
  • Middleton, WI
National Provider Identifier
1174544746
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1249-057 Issued in WI
Practice address
6300 University Ave
Suite 25
Middleton, WI 53562-3463
Phone
(608) 237-8000
Fax
(608) 237-8005
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1249-057 WI
Psychologist 103T00000X 1249-057 WI Primary

Addresses

Primary practice location

6300 University Ave
Suite 25
Middleton, WI 53562-3463

Mailing address

6300 University Ave
Suite 25
Middleton, WI 53562-3463
Phone (608) 237-8000

Other identifiers 1

IdentifierTypeStateIssuer
39201000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000884 WI Practitioner - Clinical Psychologist 0941259519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McPst Management CorporationGroup PAC ID 4880660778, 8 clinicians

Practice addresses (Care Compare)

6300 University Ave
Suite 125
Middleton, WI 53562-3486
Phone (608) 237-8000

901 Deming Way
Suite 302
Madison, WI 53717-1979
Phone (608) 310-5470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1249-057WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
McPst Management Corporation CurrentSince Jan 1, 2005 Accepting new patients

Locations

901 Deming Way
Ste 302
Madison, WI 53717

6300 University Ave
Ste 125
Middleton, WI 53562
Phone (608) 237-8000

6300 University Ave
Ste 225
Middleton, WI 53562
Phone (608) 237-8000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174544746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 UNIVERSITY AVE",
            "address_2": "SUITE 25",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623463",
            "telephone_number": "608-237-8000",
            "fax_number": "608-237-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 UNIVERSITY AVE",
            "address_2": "SUITE 25",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623463",
            "telephone_number": "608-237-8000",
            "fax_number": "608-237-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERNDT",
        "first_name": "JAMES",
        "middle_name": "K",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1249-057",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1249-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39201000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.