Individual provider Active NPI

Catherine Jones-Hazledine

  • Cognitive & Behavioral Psychologist
  • Rushville, NE
National Provider Identifier
1316022668
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
631 Issued in NE
Practice address
307 Conrad St
Rushville, NE 69360-0779
Phone
(308) 327-2026
NPI assigned
Oct 26, 2006
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 631 NE Primary

Addresses

Primary practice location

307 Conrad St
Rushville, NE 69360-0779

Mailing address

985450 Nebraska Med CT
Omaha, NE 68198-5450
Phone (402) 559-8943

Other identifiers 1

IdentifierTypeStateIssuer
10025287200MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000019 NE Practitioner - Clinical Psychologist 3678622255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Nebraska Behavioral HealthGroup PAC ID 2466821145, 4 clinicians

Practice addresses (Care Compare)

307 Conrad St
Rushville, NE 69360-6503
Phone (308) 327-2026

PO Box
Suite 779
Rushville, NE 69360-0779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western Nebraska Behavioral Health CurrentSince Dec 16, 2022 Accepting new patients
Gordon Memorial Hospital Past Accepting new patients

Locations

224 W 2nd St
Alliance, NE 69301
Phone (308) 221-4462

815 Flack Ave
Alliance, NE 69301
Phone (308) 225-4780

921 Main St
Bridgeport, NE 69336
Phone (308) 262-1252

825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441

11 Paddock St
Crawford, NE 69339
Phone (308) 665-1770

807 N Ash St
Gordon, NE 69343
Phone (308) 282-0401

307 Conrad St
Rushville, NE 69360
Phone (308) 327-2026

3700 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1126

502 N Cherry St
Valentine, NE 69201
Phone (402) 376-2200

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/gordon-7f82821b

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1316022668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985450 NEBRASKA MED CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681985450",
            "telephone_number": "402-559-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CONRAD ST",
            "city": "RUSHVILLE",
            "state": "NE",
            "postal_code": "693600779",
            "telephone_number": "308-327-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-HAZLEDINE",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NE",
            "license": "631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025287200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, NE

Sources for this page

Verify at the official NPI Registry.