Active NPIIndividual providerSole proprietor

Gabrielle Chudnow, MA

Counselor, Mental Health in Vineyard Haven, Massachusetts

NPI Number1669097325
Practice location
111 Edgartown RD, Vineyard Haven, MA 02568-5699
Fax
—
Last updated
August 11, 2020

Gabrielle Chudnow is a Counselor, Mental Health based in Vineyard Haven, MA. Gabrielle Chudnow practices in Vineyard Haven, MA and has the professional credentials of MA. The NPI Number for Gabrielle Chudnow is 1669097325. The current practice location address for Gabrielle Chudnow is 111 Edgartown RD, Vineyard Haven, MA 02568-5699 and can be reached out via phone at 508-684-8620.

Provider Profile Details

NPI Number
1669097325
Provider Name
Gabrielle Chudnow
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
111 Edgartown RD, Vineyard Haven, MA 02568-5699
Phone Number
508-684-8620
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
June 9, 2020
Last Update Date
August 11, 2020
Certification Date
August 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Edgartown RD
Vineyard Haven, MA 02568-5699
Zip
02568-5699
Phone Number
508-684-8620
Vineyard Haven, MA 02568Get directions →

Provider Business Mailing Address Details

Address
455 State RD # 313
Vineyard Haven, MA 02568-5695
City
Vineyard Haven
State
MA
Zip
02568-5695
Phone Number
508-684-8620

License Information

Taxonomy (1)
Counselor · 101Y00000X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gabrielle Chudnow, MA?

The NPI number of Gabrielle Chudnow, MA is 1669097325. It was assigned on June 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Gabrielle Chudnow, MA?

Gabrielle Chudnow, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Gabrielle Chudnow, MA practice?

The practice location is 111 Edgartown RD, Vineyard Haven, MA 02568-5699. The office can be reached at 508-684-8620 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669097325 directly on the NPPES registry website.

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