Individual provider Active NPI

Paul Hans Hooton, PH.D.

  • Clinical Psychologist
  • Fayetteville, NC
National Provider Identifier
1760506679
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4872 Issued in NC
Practice address
1310 Raeford Rd Ste 2
Fayetteville, NC 28305-5086
Phone
(910) 485-6336
NPI assigned
Mar 17, 2007
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301011252 MI
Psychologist 103T00000X 4872 NC
Cognitive & Behavioral Psychologist 103TB0200X 6301011252 MI
Cognitive & Behavioral Psychologist 103TB0200X 4872 NC
Clinical Psychologist 103TC0700X 6301011252 MI
Clinical Psychologist 103TC0700X 4872 NC Primary
Forensic Psychologist 103TF0200X 6301011252 MI
Forensic Psychologist 103TF0200X 4872 NC
Health Service Psychologist 103TH0100X 4872 NC
Group Psychotherapy Psychologist 103TP2701X 6301011252 MI
Group Psychotherapy Psychologist 103TP2701X 4872 NC

Addresses

Primary practice location

1310 Raeford Rd Ste 2
Fayetteville, NC 28305-5086

Mailing address

3354 L McLaughlin Rd
Raeford, NC 28376-6975
Phone (910) 724-0902

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
I20210608001671 NC Practitioner - Clinical Psychologist 4688742398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians

Practice addresses (Care Compare)

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4872NCMDCounselor
6301011252MIMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Verna Dority, MSW, CCSW, Inc Multi-Specialty CurrentSince Jan 24, 2021 Accepting new patients
Eventus Wholehealth, PLLC Psychologist CurrentSince Apr 1, 2021 Accepting new patients
Weber and Devers Psychological Services, P.C. Psychologist PastSince May 19, 2018 Accepting new patients

Locations

1310 Raeford Rd
Ste 2
Fayetteville, NC 28305
Phone (910) 446-5464

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, 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": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1760506679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 L MCLAUGHLIN RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766975",
            "telephone_number": "910-724-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 RAEFORD RD STE 2",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055086",
            "telephone_number": "910-485-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOTON",
        "first_name": "PAUL",
        "middle_name": "HANS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011252",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4872",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301011252",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "4872",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011252",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4872",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MI",
            "license": "6301011252",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NC",
            "license": "4872",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "4872",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MI",
            "license": "6301011252",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NC",
            "license": "4872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.