Individual provider Active NPI

Hudson Hay Elmore II, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1013278225
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A163220 Issued in CA
Practice address
11 Hanover SQ FL 18
New York, NY 10005-2847
Phone
(917) 456-8755
NPI assigned
Jun 4, 2012
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A163220 CA Primary

Addresses

Primary practice location

11 Hanover SQ FL 18
New York, NY 10005-2847

Mailing address

533 Pacific St Apt 2D
Brooklyn, NY 11217-5292
Phone (803) 317-8830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 1, 2024 through Nov 1, 2026

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.12 of 100Reported as group
Quality
68.22
Promoting interoperability
83
Improvement activities
40
Cost
76.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A163220CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindset Psychiatric Services PLLC Psychiatry CurrentSince Apr 13, 2025 Accepting new patients

Locations

11 Hanover Sq
Fl 18
New York, NY 10005
Phone (888) 668-7600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1013278225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 PACIFIC ST APT 2D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112175292",
            "telephone_number": "803-317-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HANOVER SQ FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100052847",
            "telephone_number": "917-456-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "HUDSON",
        "middle_name": "HAY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A163220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.