Fouche Psychological Services Pllc - Medicare Mental Health Clinic in Jackson, TN

Fouche Psychological Services Pllc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Jackson, Tennessee. The current practice location for Fouche Psychological Services Pllc is 3006 Greystone Sq, Jackson, Tennessee. For appointments, you can reach them via phone at (860) 230-6947. The mailing address for Fouche Psychological Services Pllc is 119 Barnes Rd, Medina, Tennessee and phone number is (860) 230-6947.

Fouche Psychological Services Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073259065. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (860) 230-6947.

Contact Information

Fouche Psychological Services Pllc
3006 Greystone Sq
Jackson
TN 38305-3589
(860) 230-6947
Not Available

Mental Health Clinic Profile

Full NameFouche Psychological Services Pllc
SpecialityPsychologist
Location3006 Greystone Sq, Jackson, Tennessee
Authorized Official Name and PositionSophia Belay Fouche (OWNER)
Authorized Official Contact8602306947
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fouche Psychological Services Pllc
119 Barnes Rd
Medina
TN 38355-8697

Ph: (860) 230-6947
Fouche Psychological Services Pllc
3006 Greystone Sq
Jackson
TN 38305-3589

Ph: (860) 230-6947

NPI Details:

NPI Number1073259065
Provider Enumeration Date05/11/2022
Last Update Date05/23/2022
Certification Date05/23/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9931588738
Medicare Enrollment IDO20220624002205

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Medical Identifiers

Medical identifiers for Fouche Psychological Services Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073259065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fouche Psychological Services Pllc acts as a billing entity for following providers:
Provider NameSophia Fouche
Provider TypePractitioner - Psychologist Billing Independently
Provider IdentifiersNPI Number: 1871995977
PECOS PAC ID: 7911226683
Enrollment ID: I20150430000944

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