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

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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