Organization Active NPI

Obsidian Health Management Services LLC

  • Addiction Psychiatry Physician
  • Palm Harbor, FL
National Provider Identifier
1801722178
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
OBSIDIAN HEALTH MANAGEMENT SERVICES LLC
Practice address
2350 Cypress Pond Rd Apt 1613
Palm Harbor, FL 34683-1507
Phone
(813) 609-0552
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Rajiv Michael David Hudek
Title
Managing Member
Phone
(629) 326-0415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0802X Primary

Addresses

Primary practice location

2350 Cypress Pond Rd Apt 1613
Palm Harbor, FL 34683-1507

Mailing address

2350 Cypress Pond Rd Apt 1613
Palm Harbor, FL 34683-1507
Phone (813) 609-0552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1801722178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 CYPRESS POND RD APT 1613",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831507",
            "telephone_number": "813-609-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 CYPRESS POND RD APT 1613",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831507",
            "telephone_number": "813-609-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSIDIAN HEALTH MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "HUDEK",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_middle_name": "MICHAEL DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "629-326-0415"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.