Active NPI
Zoe Hazenson, L.P.
- Psychologist
- Stillwater, MN
National Provider Identifier
1275666877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP 4790
- Practice address
- 106 Chestnut St E
Suite 101
Stillwater, MN 55082-5116 - Phone
- (651) 439-7309
- Fax
- (715) 531-1453
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP 4790 | MN | Primary |
Addresses
Primary practice location
106 Chestnut St E
Suite 101
Stillwater, MN 55082-5116
Mailing address
106 Chestnut St E
Suite 101
Stillwater, MN 55082-5116
Phone (651) 439-7309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP 4790 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1275666877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CHESTNUT ST E",
"address_2": "SUITE 101",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825116",
"telephone_number": "651-439-7309",
"fax_number": "715-531-1453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CHESTNUT ST E",
"address_2": "SUITE 101",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825116",
"telephone_number": "651-439-7309",
"fax_number": "715-531-1453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZENSON",
"first_name": "ZOE",
"name_prefix": "Ms.",
"credential": "L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP 4790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, MN
- Madilyne Drew Harmston, MSW, LICSW
- Nicole Harris, OD
- Ayan Ahmed Hassan, DNP, FNP-C
- Valerie M Hathaway-Kuehl, PA-C
- John Hauser, R.N., N.D., LAC.
- Healing Response Acupuncture & Integrative Medicine (Healing Response Acupuncture)
- Healing River Chiropractic, LLC
- Healtheast Medical Research Institute (HealthEast Stillwater Clinic)
- Heart Guided Healing
- Holly Heaser, LADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.