Individual provider Active NPI

Jeffrey D Delisle, MD

  • Psychiatry Physician
  • Hudson, NY
National Provider Identifier
1629045802
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1545291 Issued in NY
Practice address
350 Power Ave
Hudson, NY 12534-2447
Phone
(518) 828-9300
Fax
(518) 751-1038
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 1545291 NY Primary

Addresses

Primary practice location

350 Power Ave
Hudson, NY 12534-2447

Mailing address

350 Power Ave
Pob 635
Hudson, NY 12534-2447
Phone (518) 828-9300

Other identifiers 1

IdentifierTypeStateIssuer
00347562MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510000883 NY Practitioner - Psychiatry 5294729505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1545291NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Twin County Recovery Services Inc CurrentSince Nov 12, 2023 Accepting new patients
Albany Medical College Psychiatry CurrentSince Aug 7, 2023 Accepting new patients
Albany Medical College CurrentSince Aug 7, 2023 Accepting new patients
Albany Medical College CurrentSince Aug 7, 2023 Accepting new patients
Hillcrest Educational Centers Inc Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

350 Power Ave
Hudson, NY 12534
Phone (518) 828-9300

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

Organizations & group practices 5

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629045802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 POWER AVE",
            "address_2": "POB 635",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342447",
            "telephone_number": "518-828-9300",
            "fax_number": "518-751-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POWER AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342447",
            "telephone_number": "518-828-9300",
            "fax_number": "518-751-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "1545291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347562",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.