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DEREK HUDSON SUITE M.D.
NPI 1467433862
Psychiatry & Neurology - Psychiatry in Bronx, NY

Active since November 11, 2005PECOS Enrolled
1136 NEILL AVE, BRONX, NY 10461(718) 518-7600(718) 518-7647 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Hudson Suite M.d. NPPES

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

DEREK HUDSON SUITE M.D. (NPI 1467433862) is an individual psychiatry provider in Bronx, New York, licensed in New York (198909-1) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467433862
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDEREK HUDSON SUITECredential: M.D.
Location Address1136 NEILL AVEBronx, NY 10461-1328
Mailing Address1136 Neill AvenueBronx, NY 10461-2801 · (718) 518-7600 · Fax (718) 518-7647
Phone(718) 518-7600
Fax(718) 518-7647
Sole ProprietorYes
Enumeration DateNovember 11, 2005
Last NPPES UpdateMay 27, 2015
✔ NPI 1467433862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 198909-1
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1136 NEILL AVE, Bronx, NY 10461
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Other Identifiers 2

Medicare ID-Type UnspecifiedWEE901NY
Medicaid02501820NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Hudson Suite M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NINE LIVES SANCTUARY
Social Worker (Clinical)
1136 NEILL AVE
BRONX, NY 10461
Bronx County (347) 739-8770
MR. DESHAUN M REID
Counselor (Mental Health)
1136 NEILL AVE
BRONX, NY 10461
Bronx County (718) 518-7600
LILLIAN LABOY-MIRANDA
Counselor (Mental Health)
1136 NEILL AVE
BRONX, NY 10461
Bronx County (718) 518-7600
MR. WILLIE M VEGA
Marriage & Family Therapist
1136 NEILL AVE
BRONX, NY 10461
Bronx County (718) 518-7600
ALEXI SOUSA
Counselor (Mental Health)
1136 NEILL AVE
BRONX, NY 10461
Bronx County (718) 518-7600
PRISCILLA ASAMOAH
Counselor
1136 NEILL AVE
BRONX, NY 10461
Bronx County (718) 518-7600
YESSIVETTE DUCASSE
Social Worker
1136 NEILL AVE
BRONX, NY 10461
Bronx County (718) 518-7600
PERLA VALDEZ
Counselor (Mental Health)
1136 NEILL AVE
BRONX, NY 10461
Bronx County (718) 518-7600

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 Derek Suite's NPI number?

The NPI number for Derek Suite is 1467433862. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Derek Suite located?

Derek Suite practices at 1136 Neill Ave, Bronx, NY 10461. The listed phone number is (718) 518-7600.

What is Derek Suite's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Derek Suite enrolled in Medicare?

Yes. Derek Suite is registered in the Medicare PECOS enrollment system.

What insurance does Derek Suite accept?

Health plans from Providence Health Plan list Derek Suite as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Suite was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.