GABRIELLE CHUDNOW MA
NPI 1669097325
Counselor - Mental Health in Vineyard Haven, MA
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
Specialties & Licenses 2
Other Identifiers 1
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.
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.
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.
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.
# Gabrielle Chudnow, MA · NPI 1669097325
Mental Health provider in Vineyard Haven, Massachusetts. Individual provider, active in the CMS NPPES registry since June 9, 2020.
## Identity
- **NPI:** 1669097325 (Entity type: Individual)
- **Enumerated:** June 9, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 EDGARTOWN RD, Vineyard Haven, MA 02568-5699
- **Phone:** (508) 684-8620
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 26, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 11, 2020
- **Other identifiers:** Medicaid 1669097325 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1669097325) · Data from the CMS NPPES public registry.