Teresa Elias-Hooper, Psy. D LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33543 Issued in MS

Legal business name

TERESA ELIAS-HOOPER, PSY. D LTD

Practice address

529 S. Pear Orchard Road. Suite B
Ridgeland, MS 39157

Phone

(601) 856-0582

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Teresa Elias-Hooper, PSY.D

Title

Owner

Phone

(601) 856-0582

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Elias Hooper, PSY.D.,LTD

  • Clinical Psychologist
  • Ridgeland, MS
  • NPI 1366554313
  Medicare reassignment NPD

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222732800000",
    "number": "1912158668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S. PEAR ORCHARD ROAD. SUITE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-856-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S. PEAR ORCHARD ROAD. SUITE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "601-856-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA ELIAS-HOOPER, PSY. D LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A",
        "authorized_official_last_name": "ELIAS-HOOPER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-856-0582",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "33543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "436312198",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120519",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline S Taylor, LPC
• Katherine Elizabeth Taylor, APRN, FNP-BC
• Tonia Taylor, PHD
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• Mary Herschel Thames, LCSW
• Alyssa Tharp, DPT
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• The Cranial Prosthesis Center of Mississippi LLC

• Clinical Psychologist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.