Provider Demographics
NPI:1891808366
Name:RONALD R HOOD
Entity Type:Organization
Organization Name:RONALD R HOOD
Other - Org Name:BLUE RIDGE PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RON
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-264-4323
Mailing Address - Street 1:805 STATE FARM RD
Mailing Address - Street 2:SUITE B3
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4914
Mailing Address - Country:US
Mailing Address - Phone:828-264-4323
Mailing Address - Fax:828-264-4399
Practice Address - Street 1:805 STATE FARM RD
Practice Address - Street 2:SUITE B3
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4914
Practice Address - Country:US
Practice Address - Phone:828-264-4323
Practice Address - Fax:828-264-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC634101YA0400X
NC1751103TC1900X
NC032106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC620004523OtherRAILROAD MEDICAIRE
NC6000371Medicaid
NC0643KOtherBC & BS OF NC
NC2813819BMedicare ID - Type Unspecified