Alnetta Lyshawn Hooper, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00412300 Issued in NJ

Practice address

38 E Ridgewood Ave
PMB 212
Ridgewood, NJ 07450-3808

Phone

(201) 736-0867

Fax

(866) 724-3471

NPI assigned

Jun 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Behavioral Health Services PCGroup PAC ID 0648288712, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• NJ Behavioral Health Services PC

  • Clinical Psychologist
  • Paramus, NJ
  • NPI 1447289376
  Medicare reassignment Care Compare group NPD
• Supportive Care Psychology of NJ PC

  • Clinical Psychologist
  • Howell, NJ
  • NPI 1356840003
  Medicare reassignment NPD

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407059082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 E RIDGEWOOD AVE",
            "address_2": "PMB 212",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503808",
            "telephone_number": "201-736-0867",
            "fax_number": "866-724-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E RIDGEWOOD AVE",
            "address_2": "PMB 212",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503808",
            "telephone_number": "201-736-0867",
            "fax_number": "866-724-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "ALNETTA",
        "middle_name": "LYSHAWN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00412300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin N Hochberg, MD
• Frank G Hoehne, MSW
• Elaine Marie Holt, MD
• Katherine Holtzman, LCSW
• Homayoon Hatefi M.D. PA
• Maria Hoppas, LCSW
• Karen Lynn Horan, RD, CDE
• Horizon Research Unlimited LLC
• Kelli Howell, P.A.
• Jennifer Hsieh, M.D.

• Clinical Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.