Sophia Fouche, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3271 Issued in TN

Practice address

3006 Greystone SQ
Jackson, TN 38305-3589

Phone

(608) 230-6947

Fax

(731) 661-6277

NPI assigned

Sep 19, 2014

Last updated

Jun 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, TX2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

• Pathways of Tennessee, Inc.

  • Clinic/Center
  • Jackson, TN
  • NPI 1497721609
  Medicare reassignment NPD
• Southeastern Hematology Oncology Associates PLLC

  dba Southeastern Psychology Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, TN
  • NPI 1043974728

  TX

  Medicare reassignment NPD
• WT Medical Associates

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1295223279
  Medicare reassignment NPD
• Fouche Psychological Services PLLC

  • Clinical Psychologist
  • Jackson, TN
  • NPI 1073259065
  Authorized official Same address or phone
• WT Medical Associates

  dba West Tennessee Medical Group Primary Care Halls

  • Rural Health Clinic/Center
  • Halls, TN
  • NPI 1356176556
  NPD
• WT Medical Associates

  dba West Tennessee Medical Group Primary Care & Women's Health

  • Rural Health Clinic/Center
  • Dyersburg, TN
  • NPI 1427604198
  NPD

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1871995977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BARNES RD",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383558697",
            "telephone_number": "860-230-6947",
            "fax_number": "731-661-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053589",
            "telephone_number": "608-230-6947",
            "fax_number": "731-661-6277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Directors Row Ste A",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "38305",
            "country_code": "US",
            "telephone_number": "731-541-7605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUCHE",
        "first_name": "SOPHIA",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36394",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Foster
• Jennifer Foster, FAM PRESERV SPEC
• Mark W Foster, CRNA
• Fouche Psychological Services PLLC
• Joseph E Fouche, MD
• Kalee Jo Fountain, FNP-C
• Kimberly Fowler, LCSW
• Melissa Fowler, MS
• Rex Wayne Fowler, DC
• Robert Douglas Fowler, MD

• Clinical Psychologist in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.