Cooper Bufkin Moore, PSY.D.
NPI 1710011150ActiveIndividual· Psychologist, Clinical· Jackson, MS
Psychologist, Clinical (PSY.D.) with Teton County Hospital District, practicing in Jackson, Mississippi. Enrolled in Medicare as practitioner - clinical psychologist. Lists St Johns Medical Center as a hospital affiliation.
Overview
| NPI | 1710011150 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Mar 16, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 44 715 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WY) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Teton County Hospital DistrictTeton Village, WY · 108 clinicians
Hospital affiliation
- St Johns Medical CenterJackson, WY
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All 54 clinical psychologists in Jackson · All clinical psychologists in Mississippi