DR. GARY LEE COLEMAN (PSY. D.) – Clinical Psychologist, NPI 1407994049

DR. GARY LEE COLEMAN (PSY. D.) is a healthcare provider. based in Aurora, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY. D.. The NPI Number for DR. GARY LEE COLEMAN (PSY. D.) is 1407994049

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY LEE COLEMAN (PSY. D.)
NPI
1407994049
Phone
(630) 907-1735
Address
2114 DEERPATH RD
Enumeration Date
4 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308985322
Graduation Year
1999 (27 years ago)
PAC ID
2860584349
Group Practice PAC ID
7012144017
Professional Enrollment ID
I20070829000103
Address ID
IL605044512AU1256XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. GARY LEE COLEMAN (PSY. D.)

  • Deerpath Road, Aurora, Kane County, Illinois, 60510, United States

    AURORA, IL 605067943

    Phone: (630) 907-1735

    Fax: (630) 907-1738

    Mailing address matches the actual address.

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: 2007-08-29

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
I20070829000103IClinical 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 hour52842$0
90834Psychotherapy, 45 minutes31326$0
90791Psychiatric diagnostic evaluation1818$0
View full utilization report →

Insurance plans in this area (ZIP 60506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012144017View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What identifier follows DR. GARY LEE COLEMAN (PSY. D.) across health systems?
The NPI 1407994049 uniquely identifies DR. GARY LEE COLEMAN (PSY. D.) in U.S. healthcare data.
Is DR. GARY LEE COLEMAN (PSY. D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. GARY LEE COLEMAN (PSY. D.) as active.
What type of care does DR. GARY LEE COLEMAN (PSY. D.) provide?
DR. GARY LEE COLEMAN (PSY. D.)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. GARY LEE COLEMAN (PSY. D.) in Aurora, Illinois?
For routing, start with Aurora, Illinois for DR. GARY LEE COLEMAN (PSY. D.), then verify phone and hours locally.
Who maintains DR. GARY LEE COLEMAN (PSY. D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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