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GUDRUN LANGE PHD
NPI 1639199276
Clinical Neuropsychologist in New York, NY

Active since July 19, 2006Opted out of Medicare · through Jul 1, 2027
221 W 82ND ST APT 12A, NEW YORK, NY 10024(201) 281-6118 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2019, Jul 18, 2018 (2 updates tracked since 2018).

About Gudrun Lange Phd NPPES

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

GUDRUN LANGE PHD (NPI 1639199276) is an individual clinical neuropsychologist in New York, New York, licensed in New York (013288) and active in the NPI registry since July 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639199276
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameGUDRUN LANGECredential: PHD
Location Address221 W 82ND ST APT 12ANew York, NY 10024
Mailing Address221 W 82nd St Apt 12aNew York, NY 10024-5412 · (201) 281-6118
Phone(201) 281-6118
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateApril 24, 20192 updates tracked since enumeration
✔ NPI 1639199276 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 · 013288✔ Licensed in NJ · 35SI00377700
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.
221 W 82ND ST APT 12A, New York, NY 10024
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Gudrun Lange Phd 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 July 1, 2019 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2019
Opt-Out In Effect ThroughJuly 1, 2027Opt-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.

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 Gudrun Lange's NPI number?

The NPI number for Gudrun Lange is 1639199276. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Gudrun Lange located?

Gudrun Lange practices at 221 W 82nd St Apt 12A, New York, NY 10024. The listed phone number is (201) 281-6118.

What is Gudrun Lange's specialty?

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

Is Gudrun Lange enrolled in Medicare?

No. Gudrun Lange has opted out of Medicare through July 1, 2027. 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 Gudrun Lange was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.