GABRIELLE CHUDNOW MA
NPI 1669097325
Counselor - Mental Health in Vineyard Haven, MA

Active since June 09, 2020Opted out of Medicare · through Jun 26, 2028
111 EDGARTOWN RD, VINEYARD HAVEN, MA 02568(508) 684-8620 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 11, 2020, Jun 9, 2020 (2 updates tracked since 2020).

About Gabrielle Chudnow Ma NPPES

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

GABRIELLE CHUDNOW MA (NPI 1669097325) is an individual mental health provider in Vineyard Haven, Massachusetts and active in the NPI registry since June 2020. She has opted out of Medicare through June 26, 2028.

NPPES Registry Identity

NPI1669097325
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGABRIELLE CHUDNOWCredential: MA
Location Address111 EDGARTOWN RDVineyard Haven, MA 02568-5699
Mailing Address455 State Rd # 313Vineyard Haven, MA 02568-5695 · (508) 684-8620
Sole ProprietorYes
Enumeration DateJune 9, 2020
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
NPI 1669097325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
111 EDGARTOWN RD, Vineyard Haven, MA 02568

Other Identifiers 1

Medicaid1669097325MA

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

Gabrielle Chudnow Ma 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 June 26, 2024 through June 26, 2028.

Opt-Out Effective DateJune 26, 2024
Opt-Out In Effect ThroughJune 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Counselor (Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Counselor
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Nurse Practitioner (Psychiatric/Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Counselor (Mental Health)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Counselor
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Social Worker (Clinical)
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568
Counselor
111 EDGARTOWN RD
VINEYARD HAVEN, MA 02568

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 Gabrielle Chudnow's NPI number?

The NPI number for Gabrielle Chudnow is 1669097325. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Gabrielle Chudnow located?

Gabrielle Chudnow practices at 111 Edgartown Rd, Vineyard Haven, MA 02568. The listed phone number is (508) 684-8620.

What is Gabrielle Chudnow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Gabrielle Chudnow enrolled in Medicare?

No. Gabrielle Chudnow has opted out of Medicare through June 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Gabrielle Chudnow accept?

Health plans from Anthem Blue Cross and Blue Shield list Gabrielle Chudnow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gabrielle Chudnow was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.