Active NPI
Hudson Hay Elmore II, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1013278225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A163220
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.12 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A163220 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindset Psychiatric Services PLLC | Psychiatry | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.