ANDREA HUDSON, PSY.D. LLC
NPI 1467170522
Psychologist in Rocky River, OH

Active since August 16, 2022
20525 DETROIT RD STE 10, ROCKY RIVER, OH 44116(216) 800-6647 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Hudson, Psy.d. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA HUDSON, PSY.D. LLC (NPI 1467170522) is a healthcare organization registered as a psychologist in Rocky River, Ohio and active in the NPI registry since August 2022. The organization lists Andrea Poet Hudson, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1467170522
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameANDREA HUDSON, PSY.D. LLC
Location Address20525 DETROIT RD STE 10Rocky River, OH 44116-2444
Mailing Address20525 Detroit Rd Ste 10Rocky River, OH 44116-2444 · (216) 800-6647
Organization SubpartNo
Authorized OfficialAndrea Poet HudsonClinical Psychologist · (216) 800-6647
Enumeration DateAugust 16, 2022
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1467170522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
20525 DETROIT RD STE 10, Rocky River, OH 44116

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Hudson, Psy.d. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Andrea Hudson, Psy.D. LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1649890898
20525 DETROIT RD STE 10
Rocky River, OH 44116
(216) 800-6647
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Hudson, Psy.D. LLC's NPI number?

The NPI number for Andrea Hudson, Psy.D. LLC is 1467170522. It was assigned to this organization in the NPPES registry on August 16, 2022.

Where is Andrea Hudson, Psy.D. LLC located?

Andrea Hudson, Psy.D. LLC is located at 20525 Detroit Rd Ste 10, Rocky River, OH 44116. The listed phone number is (216) 800-6647.

What is Andrea Hudson, Psy.D. LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Andrea Hudson, Psy.D. LLC enrolled in Medicare?

Yes. Andrea Hudson, Psy.D. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrea Hudson, Psy.D. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Andrea Hudson, Psy.D. LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Hudson, Psy.D. LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.