Individual provider Active NPI

Alexandra Rhodes Hooten, PSYD

  • Clinical Neuropsychologist
  • Norwood, OH
National Provider Identifier
1992444962
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
P.08249 Issued in OH
Practice address
4600 Smith Rd Ste A6
Norwood, OH 45212-2793
Phone
(513) 518-0594
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X P.08249 OH Primary

Addresses

Primary practice location

4600 Smith Rd Ste A6
Norwood, OH 45212-2793

Mailing address

153 W Kinderton Way Apt 108
Bermuda Run, NC 27006-7392
Phone (513) 518-0594

Other names 1

  • Alexandra Rhodes Gough Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P.08249OHMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1992444962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W KINDERTON WAY APT 108",
            "city": "BERMUDA RUN",
            "state": "NC",
            "postal_code": "270067392",
            "telephone_number": "513-518-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SMITH RD STE A6",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452122793",
            "telephone_number": "513-518-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOTEN",
        "first_name": "ALEXANDRA",
        "middle_name": "RHODES",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "P.08249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "GOUGH",
            "middle_name": "RHODES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.