Individual provider Active NPI

Toby Hazan, M.D.

  • Psychiatry Physician
  • Bloomfield Hills, MI
National Provider Identifier
1275535650
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301035111 Issued in MI
Practice address
1703 Bellwood CT
Bloomfield Hills, MI 48302-2601
Phone
(248) 932-2500
Fax
(248) 855-1337
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301035111 MI Primary

Addresses

Primary practice location

1703 Bellwood CT
Bloomfield Hills, MI 48302-2601

Mailing address

1703 Bellwood CT
Bloomfield Hills, MI 48302-2601
Phone (248) 932-2500

Other identifiers 1

IdentifierTypeStateIssuer
4182959MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050806000062 MI Practitioner - Psychiatry 6507756442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1703 Bellwood CT
Bloomfield Hills, MI 48302-2601
Phone (248) 932-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301035111MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatric Services, P.C. Psychiatry CurrentSince Jan 1, 1999 Accepting new patients
Seniors Wellness Group of Michigan, P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1275535650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 BELLWOOD CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022601",
            "telephone_number": "248-932-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 BELLWOOD CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022601",
            "telephone_number": "248-932-2500",
            "fax_number": "248-855-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZAN",
        "first_name": "TOBY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301035111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4182959",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.