Fouche Psychological Services PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

FOUCHE PSYCHOLOGICAL SERVICES PLLC

Practice address

3006 Greystone SQ
Jackson, TN 38305-3589

Phone

(860) 230-6947

NPI assigned

May 11, 2022

Last updated

May 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sophia Belay Fouche, PHDNPI 1871995977

Title

Owner

Phone

(860) 230-6947

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sophia Fouche, PH.D

  • Clinical Psychologist
  • Jackson, TN
  • NPI 1871995977
  Authorized official Same address or phone
• Cynthia Jones Spring, LCSW

  • Clinical Social Worker
  • Pinson, TN
  • NPI 1922030410
  NPD (past)

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1073259065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BARNES RD",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383558697",
            "telephone_number": "860-230-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053589",
            "telephone_number": "860-230-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUCHE PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "FOUCHE",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "BELAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-230-6947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chardae Foster, MD
• Charles Stephen Foster, MD
• Jennifer Foster
• Jennifer Foster, FAM PRESERV SPEC
• Mark W Foster, CRNA
• Joseph E Fouche, MD
• Sophia Fouche, PH.D
• Kalee Jo Fountain, FNP-C
• Kimberly Fowler, LCSW
• Melissa Fowler, MS

• Clinical Psychologist in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.