JAMES K GERNDT (PHD) – Psychologist, NPI 1174544746

JAMES K GERNDT (PHD) is a healthcare provider. based in Middleton, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 1249-057 (WI). The NPI Number for JAMES K GERNDT (PHD) is 1174544746

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JAMES K GERNDT (PHD)
NPI
1174544746
Phone
(608) 237-8000
Address
6300 UNIVERSITY AVE
Enumeration Date
21 July 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082378000
Graduation Year
1986 (40 years ago)
PAC ID
0941259519
Group Practice PAC ID
4880660778
Professional Enrollment ID
I20050120000884
Address ID
WI535623486MI6300XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for JAMES K GERNDT (PHD)

  • 6300, University Avenue, Middleton, Dane County, Wisconsin, 53562, United States

    SUITE 25

    MIDDLETON, WI 535623463

    Phone: (608) 237-8000

    Fax: (608) 237-8005

    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: 2005-01-20

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
I20050120000884IClinical PsychologistWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53562)

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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: 4880660778View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Marriage And Family TherapistWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Mental Health CounselorWI
Marriage And Family TherapistWI
-WI

Reviews

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Frequently asked questions

What identifier follows JAMES K GERNDT (PHD) across health systems?
The NPI 1174544746 uniquely identifies JAMES K GERNDT (PHD) in U.S. healthcare data.
Does the public listing show JAMES K GERNDT (PHD) as active?
JAMES K GERNDT (PHD)'s NPI record reflects an active status in NPPES.
What services align with JAMES K GERNDT (PHD)'s listing?
JAMES K GERNDT (PHD)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to JAMES K GERNDT (PHD)?
JAMES K GERNDT (PHD) shows a connection to Middleton, Wisconsin in registry-derived data.
Why is information missing for JAMES K GERNDT (PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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