Individual provider Active NPI

Karen Elizabeth Hooper, PH.D

  • Psychologist
  • Matthews, NC
National Provider Identifier
1295889566
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3332 Issued in NC
Practice address
10550 Independence Pointe Pkwy
Suite 203
Matthews, NC 28105-2690
Phone
(704) 443-9097
Fax
(704) 443-9098
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3332 NC Primary

Addresses

Primary practice location

10550 Independence Pointe Pkwy
Suite 203
Matthews, NC 28105-2690

Mailing address

10550 Independence Pointe Pkwy
Suite 203
Matthews, NC 28105-2690
Phone (704) 443-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070510000390 NC Practitioner - Clinical Psychologist 2668578485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10550 Independence Pointe Pkwy
Suite 203
Matthews, NC 28105-2691
Phone (704) 443-9097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3332NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Karen E. Hooper, Psychologist, P.a. Psychologist CurrentSince Jul 26, 2010 Accepting new patients

Locations

10550 Independence Pointe Pkwy
Ste 203
Matthews, NC 28105
Phone (704) 221-2880

Organizations & group practices 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1295889566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 INDEPENDENCE POINTE PKWY",
            "address_2": "SUITE 203",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052690",
            "telephone_number": "704-443-9097",
            "fax_number": "704-443-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 INDEPENDENCE POINTE PKWY",
            "address_2": "SUITE 203",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052690",
            "telephone_number": "704-443-9097",
            "fax_number": "704-443-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.