Individual provider Active NPI

Gerald D. Lawm, PH.D.

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1821284423
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-005849 Issued in IL
Practice address
2272 W 95TH St
Unit 305
Naperville, IL 60564-8912
Phone
(630) 753-9800
Fax
(630) 753-9798
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-005849 IL Primary

Addresses

Primary practice location

2272 W 95TH St
Unit 305
Naperville, IL 60564-8912

Mailing address

2272 W 95TH St
Unit 305
Naperville, IL 60564-8912
Phone (630) 753-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050408000606 IL Practitioner - Clinical Psychologist 8820035173 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RML Health Providers Limited PartnershipGroup PAC ID 2961459565, 11 clinicians

Practice addresses (Care Compare)

5601 S County Line Rd
Hinsdale, IL 60521-4875
Phone (630) 286-4000

66 Miller Dr
Suite 105
North Aurora, IL 60542-5144
Phone (630) 570-0057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071-005849ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakheart, Center for Counseling, Mediation, and Consultation, LLC CurrentSince Jun 1, 2024 Accepting new patients
RML Health Providers Limited Partnership CurrentSince Apr 1, 2005 Accepting new patients
Modify, P.C. Clinical CurrentSince May 16, 2017 Accepting new patients

Locations

3435 W Van Buren St
Chicago, IL 60624
Phone (773) 265-7700

3316 Payshere Cir
Chicago, IL 60674

5601 S County Line Rd
Hinsdale, IL 60521
Phone (630) 286-4000

2244 95th St
Ste 301
Naperville, IL 60564
Phone (630) 753-9800

2272 95th St
Ste 305
Naperville, IL 60564
Phone (630) 753-9800

66 Miller Dr
Ste 105
North Aurora, IL 60542
Phone (630) 570-0050

1950 DeKalb Ave
Ste E
Sycamore, IL 60178
Phone (630) 570-0050

Organizations & group practices 3

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1821284423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 W 95TH ST",
            "address_2": "UNIT 305",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648912",
            "telephone_number": "630-753-9800",
            "fax_number": "630-753-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 W 95TH ST",
            "address_2": "UNIT 305",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648912",
            "telephone_number": "630-753-9800",
            "fax_number": "630-753-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWM",
        "first_name": "GERALD",
        "middle_name": "D.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.