DR. WILFRED VAN GORP PH.D.
NPI 1356474092
Clinical Neuropsychologist in New York, NY

Q: What is Wilfred Van Gorp's NPI number?

The NPI number for Wilfred Van Gorp is 1356474092. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is Wilfred Van Gorp's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: Is Wilfred Van Gorp enrolled in Medicare?

No. Wilfred Van Gorp has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Wilfred Van Gorp was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2007Opted out of Medicare · through Sep 1, 2026

240 CENTRAL PARK S APT 2B, NEW YORK, NY 10019(212) 247-1350 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Wilfred Van Gorp Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILFRED VAN GORP PH.D. (NPI 1356474092) is an individual clinical neuropsychologist in New York, New York, licensed in New York (12676) and active in the NPI registry since March 2007. He has opted out of Medicare through September 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356474092

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. WILFRED VAN GORPCredential: PH.D.

Location Address240 CENTRAL PARK S APT 2BNew York, NY 10019-1429

Mailing Address240 Central Park S Apt 2bNew York, NY 10019-1429 · (212) 247-1350

Phone(212) 247-1350

Sole ProprietorYes

Enumeration DateMarch 13, 2007

Last NPPES UpdateJune 14, 2023

NPPES CertifiedJune 14, 2023

✔ NPI 1356474092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Licenses✔ Licensed in NY · 12676✔ Licensed in IL · 071007843

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

240 CENTRAL PARK S APT 2B, New York, NY 10019

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Wilfred Van Gorp Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2016 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2016

Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY FRANK SANTORO PHD

Clinical Neuropsychologist

240 CENTRAL PARK S APT 2B
NEW YORK, NY 10019

New York County (212) 784-6098

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilfred Van Gorp's NPI number?

The NPI number for Wilfred Van Gorp is 1356474092. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Wilfred Van Gorp located?

Wilfred Van Gorp practices at 240 Central Park S Apt 2B, New York, NY 10019. The listed phone number is (212) 247-1350.

What is Wilfred Van Gorp's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Wilfred Van Gorp enrolled in Medicare?

No. Wilfred Van Gorp has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Wilfred Van Gorp was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.