Susan Ann Hood-Jackson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0329 Issued in NV

Practice address

8430 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-7674

Phone

(702) 858-9355

Fax

(702) 776-3833

NPI assigned

Sep 28, 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 NV

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1841487386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 W LAKE MEAD BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287674",
            "telephone_number": "702-525-9375",
            "fax_number": "702-776-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 W LAKE MEAD BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287674",
            "telephone_number": "702-858-9355",
            "fax_number": "702-776-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD-JACKSON",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Honormyrise Grief & Trauma LLC
• Josephine Javellan Honrado
• Mariano Garin Jr Honrado
• Angelica Elizabeth Honsberg, MD
• Taliilani Hood-Allen
• Cherelle Hood
• Dominique Hayden Hood
• Markia Hood
• Richard Hood
• Riunite Hood

• Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.