Individual provider Active NPI

Errol A Hudson II

  • Psychologist
  • Arlington, MA
National Provider Identifier
1639698319
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY0000304 Issued in MA
Practice address
226 Massachusetts Ave Ste 2a
Arlington, MA 02474-8449
Phone
(617) 977-4650
NPI assigned
Sep 14, 2017
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY0000304 MA Primary

Addresses

Primary practice location

226 Massachusetts Ave Ste 2a
Arlington, MA 02474-8449

Mailing address

226 Massachusetts Ave Ste 2a
Arlington, MA 02474-8449
Phone (617) 977-4650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 11, 2024 through Jun 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY0000304MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Psychology Group, Inc Psychologist CurrentSince May 28, 2023 Accepting new patients

Locations

226 Massachusetts Ave
Ste 2A
Arlington, MA 02474
Phone (617) 977-4650

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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1639698319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MASSACHUSETTS AVE STE 2A",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748449",
            "telephone_number": "617-977-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MASSACHUSETTS AVE STE 2A",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748449",
            "telephone_number": "617-977-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ERROL",
        "middle_name": "A",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "PSY0000304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.