Individual provider Active NPI

Alexandra Hammouri, PSY. D.

  • Clinical Psychologist
  • Asheboro, NC
National Provider Identifier
1316290810
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4290 Issued in NC
Practice address
727 S Fayetteville St Ste C
Asheboro, NC 27203-6578
Phone
(336) 625-2073
Fax
(336) 625-2737
NPI assigned
Oct 21, 2012
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4290 NC Primary

Addresses

Primary practice location

727 S Fayetteville St Ste C
Asheboro, NC 27203-6578

Mailing address

727 S Fayetteville St Ste C
Asheboro, NC 27203-6578
Phone (336) 625-2073

Other identifiers 1

IdentifierTypeStateIssuer
175HUOtherNCBCBSNC

Other names 1

  • Dr. Alexandra Cooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4290NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Asheboro Behavioral Medicine, PLLC Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1316290810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S FAYETTEVILLE ST STE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036578",
            "telephone_number": "336-625-2073",
            "fax_number": "336-625-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S FAYETTEVILLE ST STE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036578",
            "telephone_number": "336-625-2073",
            "fax_number": "336-625-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOURI",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "175HU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "COOPER",
            "prefix": "DR.",
            "credential": "PSY. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.