Individual provider Active NPI

Heather Ann Hudson, D.O.

  • Psychiatry Physician
  • Barberton, OH
National Provider Identifier
1902040256
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34010364 Issued in OH
Practice address
169 5TH St SE
Suite B
Barberton, OH 44203-9003
Phone
(330) 745-7263
Fax
(330) 745-7806
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 34010364 OH Primary

Addresses

Primary practice location

169 5TH St SE
Suite B
Barberton, OH 44203-9003

Mailing address

1835 Franks Pkwy
Uniontown, OH 44685-6249
Phone (330) 899-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120321000833 OH Practitioner - Psychiatry 1850551243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio University, College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1077 Gorge Blvd
Akron, OH 44310-2408

168 E Market St
PO Box 3542
Akron, OH 44309

3515 Massillon Rd
Suite 100
Uniontown, OH 44685-7854

9701 Cleveland Ave NW
Suite 150
North Canton, OH 44720-9834

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34010364OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Professional Services, Inc. Psychiatry CurrentSince Feb 6, 2012 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Portage Path Behavioral Health Past Accepting new patients
Portage Path Community Mental Health Center Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

169 5th St SE
Ste B
Barberton, OH 44203
Phone (330) 645-6463

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

Interoperability endpoints

  • Direct secure messaging: heatherhudson@tdh.allscriptsdirect.net

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1902040256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 FRANKS PKWY",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856249",
            "telephone_number": "330-899-2460",
            "fax_number": "330-899-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 5TH ST SE",
            "address_2": "SUITE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442039003",
            "telephone_number": "330-745-7263",
            "fax_number": "330-745-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34010364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.