Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Cooper Bufkin Moore, PSYD

Individual provider Clinical Psychologist · NPI 1710011150

Dr. Cooper Bufkin Moore, PSYD is a Clinical Psychologist in Jackson, Mississippi. Qualified in 2002, 24 years ago. Practices with Teton County Hospital District, a 112-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
24
Licensed in
MS
In the registry since
2007
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1151 N State St Ste 212
Jackson, MS 39202-2467
Phone: (601) 352-7398
Fax: (601) 352-0442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 44 715 (MS)

Record details

NPI number1710011150
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMarch 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1151 N State St Ste 212, Jackson, MS 39202-2467

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Teton County Hospital District — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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