DR. JUDY CHANG GUMMELT PSY.D.
NPI 1891907358
Psychologist - Clinical in New York, NY
About Dr. Judy Chang Gummelt Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUDY CHANG GUMMELT PSY.D. (NPI 1891907358) is an individual clinical provider in New York, New York, licensed in New York (010366-1) and active in the NPI registry since May 2007. She has opted out of Medicare through January 5, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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. Judy Chang Gummelt 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 January 5, 2017 through January 5, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10075
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 Judy Gummelt's NPI number?
The NPI number for Judy Gummelt is 1891907358. It was assigned to this individual provider in the NPPES registry on May 4, 2007. The provider is also known as Dr. Judy P Chang Psy.D..
Where is Judy Gummelt located?
Judy Gummelt practices at 16 E 79th St 4-1, New York, NY 10075. The listed phone number is (212) 861-4783.
What is Judy Gummelt's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Judy Gummelt enrolled in Medicare?
No. Judy Gummelt has opted out of Medicare through January 5, 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 Judy Gummelt was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Judy Chang Gummelt, PSY.D. · NPI 1891907358
Clinical provider in New York, New York. Individual provider, active in the CMS NPPES registry since May 4, 2007.
## Identity
- **NPI:** 1891907358 (Entity type: Individual)
- **Enumerated:** May 4, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 010366-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16 E 79TH ST, 4-1, New York, NY 10075-0150
- **Phone:** (212) 861-4783
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 5, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** April 28, 2010
- **Other identifiers:** Medicare UPIN A 300001244 (NY); Medicare ID-Type Unspecified CP18086 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1891907358) · Data from the CMS NPPES public registry.