Active NPI
Hazelwood Mental Health
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1114790078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HAZELWOOD MENTAL HEALTH
- Practice address
- 7514 E Monterey Way Ste 4
Scottsdale, AZ 85251-6900 - Phone
- (480) 209-2136
- NPI assigned
- Nov 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chyllia Dixon, NURSE PRACTITIONER
- Title
- Owner, Pmhnp
- Phone
- (809) 495-7004
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
7514 E Monterey Way Ste 4
Scottsdale, AZ 85251-6900
Mailing address
7514 E Monterey Way Ste 4
Scottsdale, AZ 85251-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7514 E Monterey Way
Scottsdale, AZ 85251
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
- NPI 1174916472
-
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
- NPI 1861216632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1114790078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7514 E MONTEREY WAY STE 4",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7514 E MONTEREY WAY STE 4",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516900",
"telephone_number": "480-209-2136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAZELWOOD MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-02",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "DIXON",
"authorized_official_first_name": "CHYLLIA",
"authorized_official_title_or_position": "OWNER, PMHNP",
"authorized_official_telephone_number": "809-495-7004",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.