Individual provider Active NPI

Timothy B Hudson, M.D.

  • Psychiatry Physician
  • Terre Haute, IN
National Provider Identifier
1134312895
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01030316A Issued in IN
Practice address
2901 Ohio Blvd
Suite 202
Terre Haute, IN 47803-2239
Phone
(812) 232-2144
Fax
(812) 234-4598
NPI assigned
Aug 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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 01030316A IN Primary

Addresses

Primary practice location

2901 Ohio Blvd
Suite 202
Terre Haute, IN 47803-2239

Mailing address

2901 Ohio Blvd
Suite 202
Terre Haute, IN 47803-2239
Phone (812) 232-2144

Other identifiers 1

IdentifierTypeStateIssuer
100239430BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01030316AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cummins Behavioral Health Systems, Incorporated PastSince Dec 6, 2003 Accepting new patients
Timothy B Hudson MD PC Psychiatry PastSince Jan 9, 1986 Accepting new patients
Ap & C Clinic Inc PastSince Apr 16, 2002 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1134312895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 OHIO BLVD",
            "address_2": "SUITE 202",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032239",
            "telephone_number": "812-232-2144",
            "fax_number": "812-234-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OHIO BLVD",
            "address_2": "SUITE 202",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032239",
            "telephone_number": "812-232-2144",
            "fax_number": "812-234-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01030316A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239430B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.