DR. NEAL J GORDON (ED.D.) – Psychologist, NPI 1235169335

DR. NEAL J GORDON (ED.D.) is a healthcare provider. based in Northbrook, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials ED.D.. They hold a License No. 071-002067 (IL). The NPI Number for DR. NEAL J GORDON (ED.D.) is 1235169335

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. NEAL J GORDON (ED.D.)
NPI
1235169335
Phone
(847) 714-1164
Address
4105 RUTGERS LN
Enumeration Date
4 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8476681164
Graduation Year
1976 (50 years ago)
PAC ID
8224132824
Professional Enrollment ID
I20070409000066
Address ID
IL600622911NO4105XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. NEAL J GORDON (ED.D.)

  • 4105, Rutgers Lane, North Northfield, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States

    NORTHBROOK, IL 600622911

    Phone: (847) 714-1164

    Fax: (847) 714-1165

    Type: Mailing

  • 433, Wisconsin Avenue, Pleasant District, Oak Park, Cook County, Illinois, 60302, United States

    OAK PARK, IL 603023688

    Phone: (708) 383-4671

    Fax: (847) 714-1165

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070409000066IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour30411$0
View full utilization report →

Insurance plans in this area (ZIP 60062)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. NEAL J GORDON (ED.D.)?
DR. NEAL J GORDON (ED.D.) — NPI 1235169335 — is the standard way to identify this listing.
Is DR. NEAL J GORDON (ED.D.) still practicing?
DR. NEAL J GORDON (ED.D.) is currently listed as active in the public NPI registry.
What is DR. NEAL J GORDON (ED.D.)'s specialty?
The listing groups DR. NEAL J GORDON (ED.D.) with Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. NEAL J GORDON (ED.D.) on a map?
Expect Northbrook, Illinois as a primary anchor for DR. NEAL J GORDON (ED.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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