DR. DANA ELLEN CHAVKIN PSY D
NPI 1386656890
Psychologist in Gillette, NJ

Active since August 13, 2006Opted out of Medicare · through Oct 1, 2027
810 LONG HILL RD, GILLETTE, NJ 07933(908) 500-1919(732) 805-9808 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Dana Ellen Chavkin Psy D NPPES

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

DR. DANA ELLEN CHAVKIN PSY D (NPI 1386656890) is an individual psychologist in Gillette, New Jersey, licensed in New Jersey (2473) and active in the NPI registry since August 2006. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1386656890
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. DANA ELLEN CHAVKINCredential: PSY D
Location Address810 LONG HILL RDGillette, NJ 07933-1324
Mailing Address810 Long Hill RdGillette, NJ 07933-1324 · (908) 580-0202 · Fax (732) 805-9808
Fax(732) 805-9808
Sole ProprietorYes
Enumeration DateAugust 13, 2006
Last NPPES UpdateNovember 22, 2024
NPPES CertifiedNovember 22, 2024
NPI 1386656890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NJ · 2473
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

810 LONG HILL RD, Gillette, NJ 07933

Accepted Insurance

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. Dana Ellen Chavkin Psy 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 October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386656890, enumerated as an "individual" on August 13, 2006.

The provider is located at 810 LONG HILL RD GILLETTE, NJ 07933 and the phone number is (908) 500-1919.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.