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DR. TYSON JUDE BOUDREAUX MD
NPI 1780831669
Psychiatry & Neurology - Psychiatry in New York, NY

Active since August 22, 2008PECOS Enrolled
600 E 125TH ST, MANHATTAN PSYCHIATRIC CENTER, DUNLAP 5B, NEW YORK, NY 10035(646) 672-6052 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tyson Jude Boudreaux Md NPPES

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

DR. TYSON JUDE BOUDREAUX MD (NPI 1780831669) is an individual psychiatry provider in New York, New York, licensed in New York (258252) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780831669
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TYSON JUDE BOUDREAUXCredential: MD
Location Address600 E 125TH ST, MANHATTAN PSYCHIATRIC CENTER, DUNLAP 5BNew York, NY 10035-6000
Mailing Address600 E 125th St, Manhattan Psychiatric Center, Dunlap 5bNew York, NY 10035-6000 · (646) 672-6052
Phone(646) 672-6052
Sole ProprietorYes
Enumeration DateAugust 22, 2008
Last NPPES UpdateMarch 5, 2013
✔ NPI 1780831669 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 · 258252
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.
600 E 125TH ST, New York, NY 10035
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyson Jude Boudreaux Md 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 10035 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 20

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

MS. APRIL LOVE OLARTE TAGAPULOT BSN, RN, MN
Registered Nurse (Psychiatric/Mental Health, Adult)
600 E 125TH ST
NEW YORK, NY 10035
New York County (646) 672-6800
ANDRES ABREU
Registered Nurse (Psychiatric/Mental Health, Adult)
600 E 125TH ST
NEW YORK, NY 10035
New York County (845) 300-4711
MERVILLE ANTOINE LCSW, LMSW
Social Worker (Clinical)
600 E 125TH ST
NEW YORK, NY 10035
New York County (646) 672-6900
MR. ERIC SCHNEIDER NP - PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
600 E 125TH ST
NEW YORK, NY 10035
New York County (646) 672-6047
JOSE-MEDELL MANAHAN RN
Registered Nurse (Psychiatric/Mental Health)
600 E 125TH ST
NEW YORK, NY 10035
New York County (646) 672-6800
CHERYL MARITES GAJES RN
Registered Nurse (Psychiatric/Mental Health, Adult)
600 E 125TH ST
NEW YORK, NY 10035
New York County (646) 672-6383
SHEREEN JOSEPH
Registered Nurse (Psychiatric/Mental Health)
600 E 125TH ST
NEW YORK, NY 10035
New York County (646) 672-6800
MS. DINA SPADACCINI LCSW
Social Worker (Clinical)
600 E 125TH ST
NEW YORK, NY 10035
New York County (646) 672-6077

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 Tyson Boudreaux's NPI number?

The NPI number for Tyson Boudreaux is 1780831669. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is Tyson Boudreaux located?

Tyson Boudreaux practices at 600 E 125th St Manhattan Psychiatric Center, Dunlap 5B, New York, NY 10035. The listed phone number is (646) 672-6052.

What is Tyson Boudreaux's specialty?

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

Is Tyson Boudreaux enrolled in Medicare?

Yes. Tyson Boudreaux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyson Boudreaux was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.