Active NPI
Timothy B Hudson, M.D.
- Psychiatry Physician
- Terre Haute, IN
National Provider Identifier
1134312895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01030316A
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100239430B | Medicaid | IN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01030316A | IN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cummins Behavioral Health Systems, Incorporated | Past | Accepting new patients | |
| Timothy B Hudson MD PC | Psychiatry | Past | Accepting new patients |
| Ap & C Clinic Inc | Past | 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.
-
- Psychiatry Physician
- Casper, WY
- NPI 1366528507
-
- Professional Counselor
- Terre Haute, IN
- NPI 1700885050
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Avon, IN
- NPI 1740232115
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.