Individual provider Active NPI

Ron Roy Hood, LIC. PSYCHOLOGIST

  • Clinical Psychologist
  • Boone, NC
National Provider Identifier
1609836626
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1751 Issued in NC
Practice address
805 State Farm Rd
Suite B3
Boone, NC 28607-4914
Phone
(828) 264-4323
Fax
(828) 264-4399
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1751 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 634 NC
Marriage & Family Therapist 106H00000X 032 NC

Addresses

Primary practice location

805 State Farm Rd
Suite B3
Boone, NC 28607-4914

Mailing address

805 State Farm Rd
Suite B3
Boone, NC 28607-4914
Phone (828) 264-4323

Other identifiers 7

IdentifierTypeStateIssuer
6000729MedicaidNC
2046942OtherNCCIGNA BEHAVIORAL HEALTH
2071915OtherNCVALUE OPTIONS
0405ROtherNCBCBS OF NC
510230509OtherNCUNITED BEHAVIORAL HEALTH
84356OtherNCMEDCOST
160604000OtherNCMAGELLAN

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
I20070320000701 NC Practitioner - Clinical Psychologist 5597868091 Practice locations: Boone, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

805 State Farm Rd
Suite B3
Boone, NC 28607-4914
Phone (828) 264-4323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
634NCMDMental Health Counselor
032NCMDMarriage & Family Therapist
1751NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New River Service Authority Past Accepting new patients
New River Service Authority Past Accepting new patients
Ronald R Hood Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1609836626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 STATE FARM RD",
            "address_2": "SUITE B3",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074914",
            "telephone_number": "828-264-4323",
            "fax_number": "828-264-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 STATE FARM RD",
            "address_2": "SUITE B3",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074914",
            "telephone_number": "828-264-4323",
            "fax_number": "828-264-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "RON",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "LIC. PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1751",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "634",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000729",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2046942",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "2071915",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0405R",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "510230509",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "84356",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "160604000",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.